Lopez, Gilberto

Lopez, Gilberto was paid $25K by Medicaid between Jan 2018 and Jun 2020, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 39% of everything it billed.

33Billing provider infoLOPEZ, GILBERTO
FORT SMITH, AR 72901

33aNPI1245392653assigned 12/14/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$25K

24GClaims948

24DCodes billed4

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other General Practice Dentistry providers in Arkansas

Rank by total paid#227 of 401

Median peer was paid$36K

This provider vs. median0.7×

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	234	$6K
2019	472	$13K
2020	242	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	39%	228	204	$10K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	298	261	$7K
D1208	Topical application of fluoride, excluding varnish	26%	350	303	$7K
D0272	Bitewings - two radiographic images	6.1%	72	72	$2K

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.