Dental
Sergio Pereira & Simonne Patrick, DDS a Prof Corp
Sergio Pereira & Simonne Patrick, DDS a Prof Corp was paid $975.00 by Medicaid between Mar 2018 and Mar 2018, across 2 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 53% of everything it billed.
33Billing provider infoSERGIO PEREIRA & SIMONNE PATRICK, DDS A PROF CORP
ELK GROVE, CA 95757
ELK GROVE, CA 95757
33aNPI1972038321assigned 04/24/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$975.00
24GClaims26
24DCodes billed2
24AFirst – last monthMar 2018 – Mar 2018
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#2,511 of 2,668
Median peer was paid$173K
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 | 26 | $975.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 53% | 13 | 13 | $520.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 47% | 13 | 13 | $455.00 |
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.
From NPPES
Who's on the registration
Authorized officialPEREIRA, SERGIO (PRESIDENT)