Terra, Heloisa

Terra, Heloisa was paid $4K by Medicaid between Oct 2019 and Oct 2019, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.

33Billing provider infoTERRA, HELOISA
DUNKIRK, NY 14048

33aNPI1821404112assigned 07/07/2014

33bProvider typeGeneral Practice Dentistry

28Total paid$4K

24GClaims268

24DCodes billed10

24AFirst – last monthOct 2019 – Oct 2019

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#1,738 of 2,184

Median peer was paid$54K

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
2019	268	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	20%	28	27	$879.00
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	31	28	$674.20
D0150	Comprehensive oral evaluation - new or established patient	11%	17	16	$459.91
D1208	Topical application of fluoride, excluding varnish	9.8%	22	21	$429.70
D0220	Intraoral - periapical first radiographic image	8.5%	42	38	$373.12
D0330	Panoramic radiographic image	8.2%	14	14	$359.71
D0272	Bitewings - two radiographic images	7.8%	15	14	$342.74
D0210	Intraoral - complete series of radiographic images	7.4%	13	12	$323.32
D0230	Intraoral - periapical each additional radiographic image	7.1%	64	38	$309.80
D0274	Bitewings - four radiographic images	5.2%	22	19	$228.42

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.