Dental
Calderon, Luis
Calderon, Luis was paid $37K by Medicaid between Dec 2020 and Oct 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoCALDERON, LUIS
THE WOODLANDS, TX 77381
THE WOODLANDS, TX 77381
33aNPI1316016462assigned 11/06/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$37K
24GClaims1,501
24DCodes billed8
24AFirst – last monthDec 2020 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,447 of 2,774
Median peer was paid$43K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2020 | 27 | $491.17 | |
| 2021 | 779 | $19K | |
| 2022 | 358 | $10K | |
| 2023 | 255 | $7K | |
| 2024incomplete | 82 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 213 | 208 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 340 | 327 | $9K |
| D0274 | Bitewings - four radiographic images | 23% | 262 | 252 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 437 | 425 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.4% | 26 | 25 | $882.00 |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 52 | 50 | $577.76 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 51 | 49 | $552.48 |
| D0602 | 0% | 120 | 114 | $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.