Jimenez, Miranda

Jimenez, Miranda was paid $255K by Medicaid between Jan 2018 and Jun 2020, across 10 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 20% of everything it billed.

33Billing provider infoJIMENEZ, MIRANDA
KANSAS CITY, MO 64108

33aNPI1861912578assigned 06/23/2017

33bProvider typeDentist

28Total paid$255K

24GClaims6,132

24DCodes billed10

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other Dentist providers in Missouri

Rank by total paid#96 of 284

Median peer was paid$109K

This provider vs. median2.3×

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	3,209	$163K
2019	2,225	$64K
2020	698	$28K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2391	Resin-based composite - one surface, posterior, primary or permanent	20%	463	307	$51K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	1,279	1,241	$39K
D1120	Dental cleaning, childProphylaxis - child	15%	878	860	$37K
D1206	Topical application of fluoride varnish	14%	1,334	1,300	$35K
D0274	Bitewings - four radiographic images	11%	750	726	$29K
D1110	Prophylaxis - adult	11%	548	528	$28K
D0272	Bitewings - two radiographic images	5.2%	435	421	$13K
D1351	Sealant - per tooth	5.1%	321	124	$13K
D0150	Comprehensive oral evaluation - new or established patient	2.1%	104	98	$5K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1.3%	20	13	$3K

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.