Dental
Dominguez-Matsumoto, Virginia
Dominguez-Matsumoto, Virginia was paid $0.00 by Medicaid between Aug 2020 and Sep 2020, across 2 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 0% of everything it billed.
33Billing provider infoDOMINGUEZ-MATSUMOTO, VIRGINIA
ARLINGTON HEIGHTS, IL 60004
ARLINGTON HEIGHTS, IL 60004
33aNPI1740310838assigned 03/07/2007
33bProvider typePublic Health Dentist
28Total paid$0.00
24GClaims56
24DCodes billed2
24AFirst – last monthAug 2020 – Sep 2020
Compared with peers
Next to other Public Health Dentist providers in Illinois
Rank by total paid#12 of 13
Median peer was paid$56K
This provider vs. median0.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
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 | 56 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 0% | 13 | 13 | $0.00 |
| D1310 | 0% | 43 | 43 | $0.00 |
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.