Dental
Ponce, Daniel
Ponce, Daniel was paid $54K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 22% of everything it billed.
33Billing provider infoPONCE, DANIEL
BUCKEYE, AZ 85326
BUCKEYE, AZ 85326
33aNPI1871707315assigned 05/10/2007
33bProvider typePediatric Dentist
28Total paid$54K
24GClaims87,458
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#92 of 223
Median peer was paid$24K
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 | 13,397 | $1K | |
| 2019 | 15,773 | $6K | |
| 2020 | 16,272 | $23K | |
| 2021 | 16,051 | $24K | |
| 2022 | 9,026 | $0.00 | |
| 2023 | 7,657 | $0.00 | |
| 2024incomplete | 9,282 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 22% | 3,992 | 1,345 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 4,550 | 2,060 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.1% | 9,715 | 9,538 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | 7.4% | 1,588 | 893 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 5.0% | 11,396 | 11,184 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.4% | 1,838 | 913 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.3% | 12,467 | 5,387 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.3% | 3,236 | 3,147 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.1% | 8,222 | 8,104 | $2K |
| D9248 | 3.7% | 1,805 | 1,698 | $2K | |
| D1351 | Sealant - per tooth | 3.0% | 2,895 | 954 | $2K |
| D0330 | Panoramic radiographic image | 2.7% | 1,995 | 1,958 | $1K |
13 more codes
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.4% | 497 | $1K |
| D1110 | Prophylaxis - adult | 2.3% | 1,648 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 6,943 | $1K |
| D0274 | Bitewings - four radiographic images | 1.9% | 2,651 | $1K |
| D0140 | Limited oral evaluation - problem focused | 1.6% | 1,362 | $856.36 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.6% | 2,013 | $854.29 |
| D0272 | Bitewings - two radiographic images | 1.3% | 3,327 | $714.25 |
| D1354 | 1.2% | 2,301 | $666.96 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 417 | $214.00 |
| D0601 | 0% | 151 | $0.00 | |
| D0602 | 0% | 22 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 31 | $0.00 |
| D1999 | 0% | 2,396 | $0.00 |
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.