Dental
Aquino, Mary Felicity
Aquino, Mary Felicity was paid $4K by Medicaid between May 2018 and Aug 2024, across 9 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 31% of everything it billed.
33Billing provider infoAQUINO, MARY FELICITY
LA PUENTE, CA 91744
LA PUENTE, CA 91744
33aNPI1760588925assigned 09/15/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$4K
24GClaims310
24DCodes billed9
24AFirst – last monthMay 2018 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#2,343 of 2,668
Median peer was paid$173K
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 | |
|---|---|---|---|
| 2018 | 61 | $870.00 | |
| 2019 | 41 | $1K | |
| 2020 | 40 | $0.00 | |
| 2021 | 34 | $87.08 | |
| 2022 | 23 | $93.15 | |
| 2023 | 43 | $345.60 | |
| 2024incomplete | 68 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 31% | 27 | 26 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 12 | 12 | $870.00 |
| D0210 | Intraoral - complete series of radiographic images | 15% | 13 | 13 | $624.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 16 | 15 | $450.00 |
| D0350 | 8.4% | 43 | 12 | $345.60 | |
| D0230 | Intraoral - periapical each additional radiographic image | 7.0% | 71 | 38 | $285.53 |
| D0274 | Bitewings - four radiographic images | 5.8% | 12 | 12 | $237.60 |
| D1330 | 0% | 88 | 86 | $0.00 | |
| D1999 | 0% | 28 | 26 | $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.