Dental
Moreno, Lourdes
Moreno, Lourdes was paid $231.75 by Medicaid between Jan 2024 and Jan 2024, across 1 billing code. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 100% of everything it billed.
33Billing provider infoMORENO, LOURDES
EUREKA, CA 95501
EUREKA, CA 95501
33aNPI1740660505assigned 06/05/2015
33bProvider typeDentist
28Total paid$231.75
24GClaims67
24DCodes billed1
24AFirst – last monthJan 2024 – Jan 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#2,239 of 2,314
Median peer was paid$185K
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 | |
|---|---|---|---|
| 2024incomplete | 67 | $231.75 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 100% | 67 | 13 | $231.75 |
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.