Dental
Carlos H Restrepo DDS INC
Carlos H Restrepo DDS INC was paid $2.14M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D0120, dental checkup, returning patient — 30% of everything it billed.
33Billing provider infoCARLOS H RESTREPO DDS INC
SAN JUAN CAPISTRANO, CA 92675
SAN JUAN CAPISTRANO, CA 92675
33aNPI1013307099assigned 01/29/2015
33bProvider typeDentist
28Total paid$2.14M
24GClaims94,326
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#265 of 2,314
Median peer was paid$185K
This provider vs. median12×
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 | 13,221 | $216K | |
| 2019 | 13,399 | $285K | |
| 2020 | 10,927 | $226K | |
| 2021 | 14,603 | $292K | |
| 2022 | 14,596 | $400K | |
| 2023 | 13,732 | $364K | |
| 2024incomplete | 13,848 | $359K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 30% | 11,400 | 11,328 | $641K |
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 11,730 | 11,655 | $462K |
| D1208 | Topical application of fluoride, excluding varnish | 6.7% | 11,822 | 11,746 | $144K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.6% | 34,214 | 6,823 | $141K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.7% | 2,306 | 1,421 | $123K |
| D1351 | Sealant - per tooth | 4.3% | 3,481 | 906 | $92K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 1,290 | 1,286 | $82K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.7% | 1,198 | 873 | $80K |
| D1310 | 3.5% | 1,651 | 1,643 | $75K | |
| D1110 | Prophylaxis - adult | 3.2% | 762 | 754 | $68K |
| D0272 | Bitewings - two radiographic images | 2.8% | 5,006 | 4,971 | $59K |
| D9993 | 2.3% | 773 | 772 | $50K |
11 more codes
| D0350 | 1.7% | 3,709 | $37K | |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 2,245 | $27K |
| D9430 | 1.0% | 701 | $22K | |
| D1206 | Topical application of fluoride varnish | <1% | 678 | $12K |
| D0602 | <1% | 671 | $10K | |
| D0603 | <1% | 452 | $7K | |
| D0330 | Panoramic radiographic image | <1% | 138 | $4K |
| D4341 | <1% | 45 | $3K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 24 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 16 | $918.40 |
| D9910 | <1% | 14 | $722.40 |
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 officialRESTREPO, CARLOS (PRESIDENT/OWNER)