Dental
Clemente, Evelyn
Clemente, Evelyn was paid $406K by Medicaid between Dec 2019 and Dec 2024, across 22 billing codes. Its largest line is D0330, Panoramic radiographic image — 25% of everything it billed.
33Billing provider infoCLEMENTE, EVELYN
DELTONA, FL 32725
DELTONA, FL 32725
33aNPI1952715443assigned 06/12/2014
33bProvider typeDentist
28Total paid$406K
24GClaims24,165
24DCodes billed22
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers
Next to other Dentist providers in Florida
Rank by total paid#76 of 542
Median peer was paid$25K
This provider vs. median16×
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 | |
|---|---|---|---|
| 2019 | 46 | $1K | |
| 2020 | 899 | $17K | |
| 2021 | 110 | $389.60 | |
| 2022 | 5,829 | $103K | |
| 2023 | 8,470 | $152K | |
| 2024incomplete | 8,811 | $133K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 25% | 1,164 | 1,148 | $101K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 2,440 | 2,410 | $63K |
| D1110 | Prophylaxis - adult | 14% | 1,002 | 990 | $56K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 974 | 629 | $53K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 2,403 | 2,367 | $41K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.7% | 1,089 | 1,079 | $23K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.8% | 624 | 436 | $20K |
| D1351 | Sealant - per tooth | 4.4% | 4,445 | 982 | $18K |
| D1208 | Topical application of fluoride, excluding varnish | 2.9% | 3,359 | 3,311 | $12K |
| D0274 | Bitewings - four radiographic images | <1% | 1,305 | 1,280 | $4K |
| D1330 | <1% | 3,442 | 3,392 | $3K | |
| D0272 | Bitewings - two radiographic images | <1% | 881 | 870 | $2K |
10 more codes
| D9999 | Unspecified adjunctive procedure, by report | <1% | 85 | $2K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 23 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 64 | $1K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 18 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 636 | $884.03 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 16 | $828.39 |
| D0140 | Limited oral evaluation - problem focused | <1% | 129 | $771.39 |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 17 | $560.01 |
| D1999 | <1% | 15 | $508.34 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 34 | $117.44 |
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.