Dental
Carlos Lopez Diaz DDS Dental Corporation
Carlos Lopez Diaz DDS Dental Corporation was paid $792K by Medicaid between Mar 2019 and Dec 2024, across 21 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 16% of everything it billed.
33Billing provider infoCARLOS LOPEZ DIAZ DDS DENTAL CORPORATION
WEST COVINA, CA 91792
WEST COVINA, CA 91792
33aNPI1225529464assigned 05/23/2018
33bProvider typeDentist
28Total paid$792K
24GClaims28,440
24DCodes billed21
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#595 of 2,314
Median peer was paid$185K
This provider vs. median4.3×
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 | |
|---|---|---|---|
| 2019 | 2,862 | $90K | |
| 2020 | 1,952 | $39K | |
| 2021 | 4,217 | $111K | |
| 2022 | 5,472 | $159K | |
| 2023 | 6,288 | $170K | |
| 2024incomplete | 7,649 | $224K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 1,934 | 1,933 | $127K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 15% | 1,766 | 812 | $118K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.0% | 1,002 | 995 | $71K |
| D0210 | Intraoral - complete series of radiographic images | 8.6% | 1,421 | 1,420 | $68K |
| D0350 | 8.2% | 5,797 | 2,232 | $65K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.8% | 927 | 458 | $62K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.4% | 1,091 | 1,087 | $51K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.6% | 8,332 | 2,057 | $36K |
| D9430 | 4.6% | 1,141 | 1,105 | $36K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.5% | 666 | 301 | $36K |
| D2160 | 3.3% | 329 | 204 | $26K | |
| D1208 | Topical application of fluoride, excluding varnish | 2.5% | 1,521 | 1,516 | $20K |
9 more codes
| D1110 | Prophylaxis - adult | 2.4% | 214 | $19K |
| D0274 | Bitewings - four radiographic images | 1.8% | 660 | $14K |
| D2140 | 1.4% | 208 | $11K | |
| D2740 | Crown - porcelain/ceramic | 1.3% | 21 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 738 | $9K |
| D0272 | Bitewings - two radiographic images | <1% | 448 | $5K |
| D0330 | Panoramic radiographic image | <1% | 178 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 17 | $1K |
| D0270 | <1% | 29 | $130.00 |
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 DIAZ, CARLOS (PRESIDENT)
Parent organizationCARLOS LOPEZ DIAZ DDS DENTAL CO