Dental
Pachon, Sandra
Pachon, Sandra was paid $67K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 56% of everything it billed.
33Billing provider infoPACHON, SANDRA
CLIFTON, NJ 07011
CLIFTON, NJ 07011
33aNPI1922125137assigned 03/23/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$67K
24GClaims3,684
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#341 of 790
Median peer was paid$43K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2018 | 633 | $11K | |
| 2019 | 604 | $11K | |
| 2020 | 223 | $4K | |
| 2021 | 155 | $4K | |
| 2022 | 239 | $6K | |
| 2023 | 1,184 | $18K | |
| 2024incomplete | 646 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 56% | 878 | 878 | $38K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 461 | 461 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 7.2% | 1,012 | 978 | $5K |
| D0274 | Bitewings - four radiographic images | 6.3% | 369 | 368 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.4% | 159 | 159 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 5.4% | 83 | 83 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.7% | 549 | 548 | $2K |
| D1330 | 0% | 173 | 172 | $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.