Dental
Espinosa-Dovale, Maria
Espinosa-Dovale, Maria was paid $1K by Medicaid between Mar 2018 and Jul 2018, across 5 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 38% of everything it billed.
33Billing provider infoESPINOSA-DOVALE, MARIA
WEST NEW YORK, NJ 07093
WEST NEW YORK, NJ 07093
33aNPI1962530600assigned 03/02/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$1K
24GClaims164
24DCodes billed5
24AFirst – last monthMar 2018 – Jul 2018
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#681 of 790
Median peer was paid$43K
This provider vs. median0.0×
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 | 164 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 38% | 28 | 28 | $394.00 |
| D1206 | Topical application of fluoride varnish | 25% | 55 | 55 | $262.50 |
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 25 | 25 | $198.00 |
| D0220 | Intraoral - periapical first radiographic image | 9.7% | 44 | 43 | $102.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.7% | 12 | 12 | $91.00 |
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.