Dental
Leite, Luis
Leite, Luis was paid $226.80 by Medicaid between Jun 2018 and Jun 2018, across 1 billing code. Its largest line is D1206, Topical application of fluoride varnish — 100% of everything it billed.
33Billing provider infoLEITE, LUIS
CHARLESTON, SC 29403
CHARLESTON, SC 29403
33aNPI1295950699assigned 04/13/2007
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$226.80
24GClaims14
24DCodes billed1
24AFirst – last monthJun 2018 – Jun 2018
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in South Carolina
Rank by total paid#20 of 20
Median peer was paid$53K
This provider vs. median0.0×
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
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 | $226.80 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 100% | 14 | 14 | $226.80 |
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.