Dental
Martir, Rowena
Martir, Rowena was paid $282K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is D0120, dental checkup, returning patient — 33% of everything it billed.
33Billing provider infoMARTIR, ROWENA
RANCHO CUCAMONGA, CA 91730
RANCHO CUCAMONGA, CA 91730
33aNPI1790824894assigned 02/05/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$282K
24GClaims16,692
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,135 of 2,668
Median peer was paid$173K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2018 | 2,326 | $33K | |
| 2019 | 2,140 | $37K | |
| 2020 | 2,072 | $31K | |
| 2021 | 2,278 | $33K | |
| 2022 | 2,485 | $45K | |
| 2023 | 2,674 | $50K | |
| 2024incomplete | 2,717 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 33% | 1,682 | 1,678 | $93K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 1,071 | 1,067 | $40K |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 7,889 | 1,656 | $35K |
| D1206 | Topical application of fluoride varnish | 9.5% | 2,013 | 2,004 | $27K |
| D1110 | Prophylaxis - adult | 8.4% | 268 | 268 | $24K |
| D0274 | Bitewings - four radiographic images | 7.0% | 942 | 937 | $20K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.4% | 273 | 139 | $18K |
| D0350 | 6.0% | 1,621 | 736 | $17K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 62 | 62 | $4K |
| D1351 | Sealant - per tooth | <1% | 86 | 29 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 36 | 24 | $2K |
| D1999 | <1% | 736 | 702 | $325.25 |
1 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 13 | $156.00 |
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.