Dental
Alcantara Ruiz, Jose Antonio
Alcantara Ruiz, Jose Antonio was paid $122.00 by Medicaid between Jan 2022 and Mar 2022, across 6 billing codes. Its largest line is D0191, — 52% of everything it billed.
33Billing provider infoALCANTARA RUIZ, JOSE ANTONIO
SALEM, OR 97301
SALEM, OR 97301
33aNPI1780342212assigned 12/01/2021
33bProvider typeDental Hygienist
28Total paid$122.00
24GClaims610
24DCodes billed6
24AFirst – last monthJan 2022 – Mar 2022
Compared with peers
Next to other Dental Hygienist providers in Oregon
Rank by total paid#43 of 78
Median peer was paid$216.04
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2022 | 610 | $122.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0191 | 52% | 157 | 157 | $64.00 | |
| D1206 | Topical application of fluoride varnish | 47% | 87 | 87 | $57.00 |
| D0602 | <1% | 95 | 95 | $1.00 | |
| D1351 | Sealant - per tooth | 0% | 56 | 17 | $0.00 |
| D1330 | 0% | 156 | 156 | $0.00 | |
| D0603 | 0% | 59 | 59 | $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.