Dental
Clinica Dental Latina
Clinica Dental Latina was paid $129K by Medicaid between Jun 2023 and Dec 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 37% of everything it billed.
33Billing provider infoCLINICA DENTAL LATINA
CORONA, NY 11368
CORONA, NY 11368
33aNPI1902177843assigned 01/24/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$129K
24GClaims5,143
24DCodes billed13
24AFirst – last monthJun 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#785 of 2,184
Median peer was paid$54K
This provider vs. median2.4×
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 | |
|---|---|---|---|
| 2023 | 2,201 | $55K | |
| 2024incomplete | 2,942 | $74K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 37% | 1,106 | 1,106 | $48K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 1,117 | 1,117 | $25K |
| D0274 | Bitewings - four radiographic images | 8.4% | 469 | 469 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.1% | 239 | 130 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.7% | 728 | 728 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 6.2% | 874 | 872 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.3% | 70 | 47 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 3.1% | 114 | 114 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.9% | 93 | 93 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 101 | 101 | $3K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 158 | 157 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 40 | 40 | $1K |
1 more codes
| D1208 | Topical application of fluoride, excluding varnish | <1% | 34 | $453.60 |
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.
From NPPES
Who's on the registration
Authorized officialISIDOR, JULIO (OFFICE MANAGER)