Dental
Sagrera, Thomas
Sagrera, Thomas was paid $826K by Medicaid between Jan 2018 and Mar 2021, across 25 billing codes. Its largest line is D0120, dental checkup, returning patient — 15% of everything it billed.
33Billing provider infoSAGRERA, THOMAS
BILOXI, MS 39531
BILOXI, MS 39531
33aNPI1932378890assigned 02/25/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$826K
24GClaims28,393
24DCodes billed25
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers
Next to other General Practice Dentistry providers in Mississippi
Rank by total paid#43 of 379
Median peer was paid$78K
This provider vs. median11×
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 | 12,410 | $364K | |
| 2019 | 12,512 | $377K | |
| 2020 | 2,307 | $62K | |
| 2021 | 1,164 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 4,783 | 3,931 | $126K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 3,059 | 2,475 | $106K |
| D1208 | Topical application of fluoride, excluding varnish | 9.9% | 4,132 | 3,333 | $81K |
| D1110 | Prophylaxis - adult | 9.1% | 1,587 | 1,355 | $75K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.3% | 488 | 277 | $68K |
| D0272 | Bitewings - two radiographic images | 7.1% | 2,501 | 2,081 | $59K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.2% | 536 | 369 | $43K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.2% | 1,700 | 1,317 | $43K |
| D1351 | Sealant - per tooth | 5.1% | 1,519 | 503 | $42K |
| D0210 | Intraoral - complete series of radiographic images | 4.8% | 460 | 328 | $40K |
| D2140 | 4.1% | 518 | 374 | $34K | |
| D0220 | Intraoral - periapical first radiographic image | 3.6% | 1,739 | 1,207 | $30K |
13 more codes
| D7140 | Extraction, erupted tooth or exposed root | 2.6% | 299 | $21K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 1,316 | $18K |
| D1206 | Topical application of fluoride varnish | 1.2% | 453 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.1% | 81 | $9K |
| D0603 | <1% | 1,474 | $5K | |
| D0330 | Panoramic radiographic image | <1% | 73 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 45 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 97 | $2K |
| D0601 | <1% | 585 | $2K | |
| D0602 | <1% | 569 | $2K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 39 | $2K |
| D2160 | <1% | 14 | $1K | |
| D1999 | 0% | 326 | $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.