Clinic
Andina Dental Studio INC
Andina Dental Studio INC was paid $727K by Medicaid between Apr 2021 and Dec 2024, across 21 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 41% of everything it billed.
33Billing provider infoANDINA DENTAL STUDIO INC
WILMINGTON, DE 19804
WILMINGTON, DE 19804
33aNPI1780272682assigned 01/06/2021
33bProvider typeDental Clinic/Center
28Total paid$727K
24GClaims8,094
24DCodes billed21
24AFirst – last monthApr 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Delaware
Rank by total paid#8 of 24
Median peer was paid$212K
This provider vs. median3.4×
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 | 320 | $30K | |
| 2022 | 1,663 | $162K | |
| 2023 | 3,163 | $283K | |
| 2024incomplete | 2,948 | $253K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 41% | 1,135 | 709 | $297K |
| D1110 | Prophylaxis - adult | 11% | 1,114 | 1,063 | $82K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 10% | 219 | 180 | $74K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.4% | 752 | 715 | $54K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.1% | 1,020 | 982 | $44K |
| D1206 | Topical application of fluoride varnish | 3.9% | 853 | 834 | $28K |
| D0274 | Bitewings - four radiographic images | 3.8% | 537 | 507 | $28K |
| D7140 | Extraction, erupted tooth or exposed root | 3.1% | 123 | 74 | $22K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.8% | 360 | 356 | $20K |
| D0210 | Intraoral - complete series of radiographic images | 2.4% | 162 | 162 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 704 | 656 | $17K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 66 | 55 | $13K |
9 more codes
| D0330 | Panoramic radiographic image | 1.3% | 101 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 405 | $6K |
| D4355 | <1% | 31 | $5K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 84 | $5K |
| D2331 | <1% | 13 | $3K | |
| D0272 | Bitewings - two radiographic images | <1% | 13 | $461.16 |
| D0603 | 0% | 261 | $0.00 | |
| D0602 | 0% | 128 | $0.00 | |
| D0601 | 0% | 13 | $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.
From NPPES
Who's on the registration
Authorized officialHURTADO, ANDRES (DENTIST/OWNER)