Dental
Sergio E Lopez, DDS, Pediatric Dentistry, PLLC
Sergio E Lopez, DDS, Pediatric Dentistry, PLLC was paid $3.45M by Medicaid between Nov 2018 and Dec 2024, across 26 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 27% of everything it billed.
33Billing provider infoSERGIO E LOPEZ, DDS, PEDIATRIC DENTISTRY, PLLC
EDINBURG, TX 78541
EDINBURG, TX 78541
33aNPI1104207653assigned 06/10/2015
33bProvider typePediatric Dentist
28Total paid$3.45M
24GClaims115,721
24DCodes billed26
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#57 of 693
Median peer was paid$252K
This provider vs. median14×
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 | 14 | $0.00 | |
| 2019 | 102 | $674.00 | |
| 2020 | 2,411 | $84K | |
| 2021 | 26,545 | $759K | |
| 2022 | 28,452 | $828K | |
| 2023 | 29,684 | $939K | |
| 2024incomplete | 28,513 | $839K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 27% | 6,471 | 1,392 | $921K |
| D0145 | Oral evaluation for a patient under three years of age | 16% | 4,162 | 4,072 | $567K |
| D1351 | Sealant - per tooth | 9.3% | 12,175 | 3,300 | $321K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.7% | 7,901 | 7,835 | $266K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.6% | 7,022 | 6,969 | $192K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.7% | 16,559 | 10,406 | $161K |
| D0272 | Bitewings - two radiographic images | 4.4% | 7,631 | 7,538 | $152K |
| D0220 | Intraoral - periapical first radiographic image | 3.8% | 11,688 | 11,431 | $131K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 1,791 | 1,190 | $129K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.5% | 1,362 | 948 | $122K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 3,513 | 3,484 | $115K |
| D1206 | Topical application of fluoride varnish | 3.2% | 7,683 | 7,638 | $111K |
14 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.8% | 2,391 | $62K |
| D1110 | Prophylaxis - adult | 1.5% | 967 | $51K |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 807 | $48K |
| D9420 | <1% | 705 | $25K | |
| D2934 | <1% | 139 | $21K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 911 | $16K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 266 | $16K |
| D0330 | Panoramic radiographic image | <1% | 796 | $11K |
| D0350 | <1% | 655 | $7K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 410 | $4K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 14 | $1K |
| D0270 | <1% | 115 | $509.01 | |
| D1999 | 0% | 4,477 | $0.00 | |
| D0603 | 0% | 15,110 | $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.
From NPPES
Who's on the registration
Authorized officialLOPEZ, SERGIO (OWNER/PEDIATRIC DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Southern Health Care Group, INC. | Guayama, PR | $622K |
| Sergio M. Lopez, D.D.S.,P. L.L.C. | Tampa, FL | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.