Dental
Santos, Doreen Claire
Santos, Doreen Claire was paid $38K by Medicaid between Nov 2020 and Nov 2021, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoSANTOS, DOREEN CLAIRE
PITTSTON, PA 18640
PITTSTON, PA 18640
33aNPI1790935468assigned 09/30/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$38K
24GClaims1,281
24DCodes billed8
24AFirst – last monthNov 2020 – Nov 2021
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#416 of 847
Median peer was paid$37K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2020 | 195 | $5K | |
| 2021 | 1,086 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 317 | 316 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 21% | 136 | 80 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 383 | 381 | $8K |
| D0274 | Bitewings - four radiographic images | 14% | 199 | 198 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 8.1% | 48 | 36 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 155 | 154 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 1.3% | 27 | 27 | $505.44 |
| D9110 | 1.2% | 16 | 16 | $480.00 |
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.