Dental
Pacheco, Victor
Pacheco, Victor was paid $130K by Medicaid between Jun 2021 and Aug 2024, across 13 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 23% of everything it billed.
33Billing provider infoPACHECO, VICTOR
TUCUMCARI, NM 88401
TUCUMCARI, NM 88401
33aNPI1346735412assigned 06/29/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$130K
24GClaims5,698
24DCodes billed13
24AFirst – last monthJun 2021 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in New Mexico
Rank by total paid#76 of 202
Median peer was paid$44K
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2021 | 387 | $10K | |
| 2022 | 1,872 | $42K | |
| 2023 | 2,127 | $47K | |
| 2024incomplete | 1,312 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 23% | 803 | 803 | $29K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 694 | 694 | $23K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 985 | 985 | $19K |
| D0274 | Bitewings - four radiographic images | 11% | 525 | 525 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 8.9% | 1,010 | 1,008 | $11K |
| D0330 | Panoramic radiographic image | 7.2% | 203 | 203 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.7% | 956 | 905 | $9K |
| D0272 | Bitewings - two radiographic images | 4.2% | 251 | 251 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.9% | 158 | 158 | $4K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 55 | 52 | $2K |
| D1110 | Prophylaxis - adult | 1.0% | 28 | 28 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 14 | 12 | $1K |
1 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 16 | $970.63 |
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.