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

M Laura De Lopez Dental Corp

M Laura De Lopez Dental Corp was paid $230K by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 44% of everything it billed.

33Billing provider infoM LAURA DE LOPEZ DENTAL CORP
POMONA, CA 91767
33aNPI1447431887assigned 11/14/2007
33bProvider typeDentist
28Total paid$230K
24GClaims6,194
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Dentist providers in California

Rank by total paid#1,073 of 2,314
Median peer was paid$185K
This provider vs. median1.2×

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$5.0K$10K$15K2018201920202021202220232024
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
20181,411$46K
2019984$37K
2020583$19K
2021711$37K
2022766$29K
2023843$26K
2024incomplete896$37K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 44% 1,561 651 $102K
D2391 Resin-based composite - one surface, posterior, primary or permanent 25% 1,079 442 $58K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 7.4% 317 317 $17K
D1110 Prophylaxis - adult 7.2% 191 191 $17K
D0230 Intraoral - periapical each additional radiographic image 4.2% 2,291 693 $10K
D1120 Dental cleaning, childProphylaxis - child 4.0% 280 279 $9K
D0150 Comprehensive oral evaluation - new or established patient 3.0% 121 121 $7K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1.8% 54 38 $4K
D0274 Bitewings - four radiographic images 1.8% 196 196 $4K
D0210 Intraoral - complete series of radiographic images <1% 38 38 $2K
D1208 Topical application of fluoride, excluding varnish <1% 39 39 $415.50
D0272 Bitewings - two radiographic images <1% 14 14 $168.00
1 more codes
D0220 Intraoral - periapical first radiographic image <1% 13 $156.00

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 officialDE LOPEZ, MARIA (DENTIST OWNER)