Dental
Rodriguez, Marina
Rodriguez, Marina was paid $7K by Medicaid between Jan 2018 and Jan 2018, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.
33Billing provider infoRODRIGUEZ, MARINA
EAST ELMHURST, NY 11369
EAST ELMHURST, NY 11369
33aNPI1891082624assigned 06/30/2011
33bProvider typeDentist
28Total paid$7K
24GClaims278
24DCodes billed9
24AFirst – last monthJan 2018 – Jan 2018
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#1,230 of 1,649
Median peer was paid$49K
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 | |
|---|---|---|---|
| 2018 | 278 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 26% | 42 | 42 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 62 | 62 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 13% | 20 | 20 | $912.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 23 | 23 | $764.75 |
| D0230 | Intraoral - periapical each additional radiographic image | 8.7% | 48 | 47 | $592.80 |
| D0274 | Bitewings - four radiographic images | 7.0% | 20 | 20 | $480.70 |
| D1208 | Topical application of fluoride, excluding varnish | 6.3% | 35 | 35 | $432.25 |
| D0272 | Bitewings - two radiographic images | 2.9% | 14 | 14 | $199.50 |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 14 | 14 | $172.90 |
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.