Dental
Adrianza-Weidanz, Marielsa
Adrianza-Weidanz, Marielsa was paid $3K by Medicaid between Apr 2021 and Jun 2021, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 28% of everything it billed.
33Billing provider infoADRIANZA-WEIDANZ, MARIELSA
CRESTVIEW, FL 32536
CRESTVIEW, FL 32536
33aNPI1750495149assigned 08/19/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$3K
24GClaims223
24DCodes billed8
24AFirst – last monthApr 2021 – Jun 2021
Compared with peers
Next to other General Practice Dentistry providers in Florida
Rank by total paid#442 of 568
Median peer was paid$24K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2021 | 223 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 28% | 29 | 27 | $859.83 |
| D0230 | Intraoral - periapical each additional radiographic image | 20% | 56 | 21 | $618.62 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 17 | 17 | $461.60 |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 16 | 16 | $459.99 |
| D1206 | Topical application of fluoride varnish | 13% | 31 | 30 | $410.13 |
| D0220 | Intraoral - periapical first radiographic image | 10% | 26 | 26 | $312.74 |
| D0602 | 0% | 33 | 32 | $0.00 | |
| D0603 | 0% | 15 | 15 | $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.