Dental
Mai-Soto, Jin
Mai-Soto, Jin was paid $148K by Medicaid between Jan 2024 and Dec 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.
33Billing provider infoMAI-SOTO, JIN
STAMFORD, CT 06905
STAMFORD, CT 06905
33aNPI1831707959assigned 07/14/2020
33bProvider typeDentist
28Total paid$148K
24GClaims3,303
24DCodes billed13
24AFirst – last monthJan 2024 – Dec 2024
Compared with peers
Next to other Dentist providers in Connecticut
Rank by total paid#52 of 153
Median peer was paid$41K
This provider vs. median3.6×
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 | |
|---|---|---|---|
| 2024incomplete | 3,303 | $148K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 24% | 642 | 641 | $35K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 19% | 330 | 121 | $27K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 596 | 595 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.4% | 179 | 123 | $14K |
| D0274 | Bitewings - four radiographic images | 7.4% | 477 | 475 | $11K |
| D2750 | 7.0% | 19 | 12 | $10K | |
| D0330 | Panoramic radiographic image | 6.6% | 264 | 264 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.3% | 345 | 345 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.8% | 137 | 89 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 1.9% | 102 | 102 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.4% | 21 | 14 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 168 | 168 | $2K |
1 more codes
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 23 | $157.97 |
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.