Dental
Sanchez, Carmen
Sanchez, Carmen was paid $1.13M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 24% of everything it billed.
33Billing provider infoSANCHEZ, CARMEN
PROVIDENCE, RI 02905
PROVIDENCE, RI 02905
33aNPI1356493324assigned 01/18/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$1.13M
24GClaims31,383
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Rhode Island
Rank by total paid#12 of 86
Median peer was paid$77K
This provider vs. median15×
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 | 3,996 | $143K | |
| 2019 | 3,163 | $111K | |
| 2020 | 1,376 | $48K | |
| 2021 | 3,595 | $152K | |
| 2022 | 4,942 | $186K | |
| 2023 | 7,976 | $270K | |
| 2024incomplete | 6,335 | $216K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 24% | 7,662 | 6,277 | $265K |
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 5,464 | 4,568 | $230K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 1,556 | 679 | $116K |
| D1110 | Prophylaxis - adult | 10% | 2,856 | 2,293 | $114K |
| D0274 | Bitewings - four radiographic images | 7.8% | 3,640 | 2,968 | $87K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.2% | 3,418 | 2,623 | $70K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.0% | 1,234 | 476 | $68K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.9% | 1,824 | 1,582 | $55K |
| D0330 | Panoramic radiographic image | 3.9% | 888 | 833 | $44K |
| D2740 | Crown - porcelain/ceramic | 1.2% | 28 | 25 | $14K |
| D1310 | <1% | 465 | 405 | $10K | |
| D1330 | <1% | 476 | 409 | $9K |
8 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 661 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 284 | $8K |
| D0140 | Limited oral evaluation - problem focused | <1% | 274 | $7K |
| D1351 | Sealant - per tooth | <1% | 301 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 48 | $5K |
| D0272 | Bitewings - two radiographic images | <1% | 261 | $5K |
| D2950 | <1% | 30 | $3K | |
| D9920 | <1% | 13 | $325.00 |
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.