Dental
Peralta, Jose
Peralta, Jose was paid $7K by Medicaid between Mar 2022 and May 2022, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 100% of everything it billed.
33Billing provider infoPERALTA, JOSE
DADE CITY, FL 33525
DADE CITY, FL 33525
33aNPI1962462036assigned 03/24/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$7K
24GClaims398
24DCodes billed5
24AFirst – last monthMar 2022 – May 2022
Compared with peers
Next to other General Practice Dentistry providers in Florida
Rank by total paid#392 of 568
Median peer was paid$24K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2022 | 398 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 100% | 78 | 78 | $7K |
| D0190 | <1% | 78 | 78 | $10.40 | |
| D1330 | 0% | 81 | 81 | $0.00 | |
| D1351 | Sealant - per tooth | 0% | 79 | 26 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 82 | 82 | $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.