Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Carter, Sonia

Carter, Sonia was paid $99K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 44% of everything it billed.

33Billing provider infoCARTER, SONIA
MAYAGUEZ, PR 00680
33aNPI1134264005assigned 02/20/2007
28Total paid$99K
24GClaims5,787
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#275 of 551
Median peer was paid$99K
This provider vs. median1.0×

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

$0$2.0K$4.0K2018201920202021202220232024
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
20181,588$22K
2019712$11K
2020546$11K
20211,312$23K
2022813$16K
2023428$9K
2024incomplete388$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 44% 1,796 1,746 $44K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 19% 1,502 1,460 $19K
D1999 13% 864 810 $13K
D1208 Topical application of fluoride, excluding varnish 10% 769 736 $10K
D0150 Comprehensive oral evaluation - new or established patient 8.7% 488 464 $9K
D1120 Dental cleaning, childProphylaxis - child 3.9% 256 237 $4K
D0220 Intraoral - periapical first radiographic image <1% 94 92 $533.20
D7140 Extraction, erupted tooth or exposed root <1% 18 15 $338.40

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.