Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Luis Bayardo D.D.S. INC.

Luis Bayardo D.D.S. INC. was paid $1.52M by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is D0120, dental checkup, returning patient — 18% of everything it billed.

33Billing provider infoLUIS BAYARDO D.D.S. INC.
ALHAMBRA, CA 91801
33aNPI1437357514assigned 07/10/2007
28Total paid$1.52M
24GClaims58,045
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#395 of 2,668
Median peer was paid$173K
This provider vs. median8.8×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20188,027$180K
20197,374$180K
20203,650$82K
20217,758$205K
202210,589$308K
202311,326$307K
2024incomplete9,321$254K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 18% 4,656 4,632 $276K
D1110 Prophylaxis - adult 16% 2,818 2,805 $241K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 9.1% 2,056 1,255 $137K
D0150 Comprehensive oral evaluation - new or established patient 8.6% 2,100 2,090 $131K
D1120 Dental cleaning, childProphylaxis - child 8.2% 3,241 3,220 $125K
D2391 Resin-based composite - one surface, posterior, primary or permanent 8.1% 2,293 1,258 $123K
D0230 Intraoral - periapical each additional radiographic image 6.7% 21,868 4,991 $101K
D0210 Intraoral - complete series of radiographic images 6.2% 2,031 2,017 $94K
D1208 Topical application of fluoride, excluding varnish 3.8% 4,834 4,801 $58K
D0274 Bitewings - four radiographic images 3.7% 2,675 2,658 $56K
D9430 3.1% 1,510 1,431 $47K
D0350 2.9% 4,457 2,170 $43K
12 more codes
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 2.1% 271 $32K
D0272 Bitewings - two radiographic images <1% 1,265 $15K
D0220 Intraoral - periapical first radiographic image <1% 960 $9K
D2751 Crown - porcelain fused to predominantly base metal <1% 17 $8K
D0240 <1% 645 $7K
D1351 Sealant - per tooth <1% 218 $5K
D9110 <1% 34 $2K
D2954 <1% 15 $2K
D2150 Silver amalgam - two surfaces, primary or permanent <1% 21 $1K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 16 $1K
D1206 Topical application of fluoride varnish <1% 30 $364.00
D0270 <1% 14 $70.00

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.

From NPPES

Who's on the registration

Authorized officialBAYARDO, LUIS (OWNER)