Dental
Cruz Chu, Carlos
Cruz Chu, Carlos was paid $58K by Medicaid between Jan 2022 and Apr 2022, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.
33Billing provider infoCRUZ CHU, CARLOS
FREDERICKSBURG, VA 22401
FREDERICKSBURG, VA 22401
33aNPI1467612614assigned 06/11/2008
33bProvider typePediatric Dentist
28Total paid$58K
24GClaims2,161
24DCodes billed18
24AFirst – last monthJan 2022 – Apr 2022
Compared with peers
Next to other Pediatric Dentist providers in Virginia
Rank by total paid#97 of 140
Median peer was paid$234K
This provider vs. median0.2×
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
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 | |
|---|---|---|---|
| 2022 | 2,161 | $58K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 313 | 313 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 95 | 53 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 312 | 312 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 291 | 291 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | 8.1% | 72 | 42 | $5K |
| D1110 | Prophylaxis - adult | 6.7% | 83 | 83 | $4K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.4% | 23 | 12 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.9% | 84 | 82 | $3K |
| D0272 | Bitewings - two radiographic images | 4.1% | 118 | 118 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.6% | 186 | 147 | $2K |
| D1206 | Topical application of fluoride varnish | 3.5% | 99 | 99 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 172 | 172 | $2K |
6 more codes
| D1354 | 2.3% | 111 | $1K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 26 | $814.06 |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 28 | $695.24 |
| D0145 | Oral evaluation for a patient under three years of age | 1.2% | 34 | $685.10 |
| D0274 | Bitewings - four radiographic images | <1% | 14 | $386.40 |
| D9994 | <1% | 100 | $82.80 |
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.