Dental
Pedro-Lim, Judy
Pedro-Lim, Judy was paid $55K by Medicaid between Jan 2018 and Jul 2020, across 20 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 22% of everything it billed.
33Billing provider infoPEDRO-LIM, JUDY
EAGAN, MN 55122
EAGAN, MN 55122
33aNPI1962574590assigned 11/15/2006
33bProvider typePediatric Dentist
28Total paid$55K
24GClaims11,971
24DCodes billed20
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Pediatric Dentist providers in Minnesota
Rank by total paid#28 of 49
Median peer was paid$94K
This provider vs. median0.6×
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 | 11,163 | $38K | |
| 2019 | 630 | $13K | |
| 2020 | 178 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 22% | 512 | 205 | $12K |
| D1351 | Sealant - per tooth | 16% | 2,477 | 406 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 1,910 | 1,895 | $9K |
| D1206 | Topical application of fluoride varnish | 12% | 1,918 | 1,896 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,262 | 1,254 | $6K |
| D0272 | Bitewings - two radiographic images | 4.8% | 864 | 855 | $3K |
| D0330 | Panoramic radiographic image | 3.2% | 284 | 282 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.0% | 486 | 484 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | 2.9% | 275 | 166 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.8% | 84 | 44 | $2K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 189 | 188 | $827.64 |
| D2140 | 1.4% | 89 | 58 | $748.15 |
8 more codes
| D0240 | 1.3% | 500 | $720.72 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.1% | 397 | $598.29 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 247 | $396.22 |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 347 | $294.44 |
| D1110 | Prophylaxis - adult | 0% | 12 | $0.00 |
| D2330 | 0% | 85 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 18 | $0.00 |
| D2331 | 0% | 15 | $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.