Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Brooklyn › NPI 1104183078
Dental

Mercado, Victor

Mercado, Victor was paid $223K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 68% of everything it billed.

33Billing provider infoMERCADO, VICTOR
BROOKLYN, NY 11220
33aNPI1104183078assigned 04/18/2012
28Total paid$223K
24GClaims8,641
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#574 of 2,184
Median peer was paid$54K
This provider vs. median4.2×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018181$9K
2019222$13K
20202,125$60K
2021929$31K
20221,727$48K
20231,221$19K
2024incomplete2,236$44K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0999 Unspecified diagnostic procedure, by report 68% 2,074 1,809 $151K
D1110 Prophylaxis - adult 8.9% 724 724 $20K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 6.3% 1,173 1,173 $14K
D0274 Bitewings - four radiographic images 5.3% 1,041 1,041 $12K
D9999 Unspecified adjunctive procedure, by report 4.0% 119 110 $9K
D0220 Intraoral - periapical first radiographic image 2.4% 1,554 1,538 $5K
D0230 Intraoral - periapical each additional radiographic image 1.7% 1,264 1,257 $4K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1.7% 241 196 $4K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1.1% 93 82 $2K
D0150 Comprehensive oral evaluation - new or established patient <1% 49 49 $879.10
D1120 Dental cleaning, childProphylaxis - child <1% 108 108 $503.10
D9991 <1% 33 30 $117.00
7 more codes
D0270 <1% 13 $80.00
D0140 Limited oral evaluation - problem focused <1% 18 $35.31
D9995 0% 21 $0.00
D1208 Topical application of fluoride, excluding varnish 0% 61 $0.00
D1330 0% 14 $0.00
D0272 Bitewings - two radiographic images 0% 27 $0.00
D1310 0% 14 $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.