Dental
Ogando, Delis
Ogando, Delis was paid $326K by Medicaid between Jun 2020 and Nov 2023, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.
33Billing provider infoOGANDO, DELIS
JACKSON, MI 49201
JACKSON, MI 49201
33aNPI1730619438assigned 06/14/2017
33bProvider typeAdvanced Practice Dental Therapist
28Total paid$326K
24GClaims12,678
24DCodes billed19
24AFirst – last monthJun 2020 – Nov 2023
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 5,258 | $121K | |
| 2021 | 6,605 | $164K | |
| 2023 | 815 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 2,226 | 2,005 | $89K |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 2,152 | 1,927 | $54K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 1,820 | 1,659 | $50K |
| D1351 | Sealant - per tooth | 6.9% | 271 | 166 | $23K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.4% | 303 | 240 | $21K |
| D4341 | 6.3% | 134 | 70 | $21K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 771 | 703 | $16K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.2% | 409 | 364 | $10K |
| D0272 | Bitewings - two radiographic images | 3.1% | 1,103 | 986 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 1,614 | 1,460 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 1,292 | 1,158 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 92 | 81 | $5K |
7 more codes
| D1110 | Prophylaxis - adult | 1.0% | 71 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 122 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 168 | $3K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 15 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 84 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 15 | $582.40 |
| D1206 | Topical application of fluoride varnish | <1% | 16 | $416.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.