Dental
Corella, John
Corella, John was paid $5K by Medicaid between Oct 2020 and Feb 2024, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 66% of everything it billed.
33Billing provider infoCORELLA, JOHN
SUMMERVILLE, SC 29485
SUMMERVILLE, SC 29485
33aNPI1780898353assigned 05/10/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$5K
24GClaims139
24DCodes billed3
24AFirst – last monthOct 2020 – Feb 2024
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#278 of 331
Median peer was paid$75K
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 | |
|---|---|---|---|
| 2020 | 13 | $641.60 | |
| 2021 | 13 | $629.40 | |
| 2022 | 25 | $904.00 | |
| 2023 | 54 | $2K | |
| 2024incomplete | 34 | $660.20 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 66% | 63 | 63 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 29% | 62 | 62 | $1K |
| D1206 | Topical application of fluoride varnish | 4.9% | 14 | 14 | $229.20 |
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.