Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VA › Hampton › NPI 1477566859
Dental

Modeste, Lorenzo

Modeste, Lorenzo was paid $145K by Medicaid between Jan 2018 and Jun 2021, across 7 billing codes. Its largest line is D1354, — 60% of everything it billed.

33Billing provider infoMODESTE, LORENZO
HAMPTON, VA 23666
33aNPI1477566859assigned 08/15/2006
28Total paid$145K
24GClaims5,641
24DCodes billed7
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers

Next to other General Practice Dentistry providers in Virginia

Rank by total paid#166 of 549
Median peer was paid$29K
This provider vs. median4.9×

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
20181,258$38K
20192,727$72K
20201,239$26K
2021417$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1354 60% 3,210 229 $86K
D0330 Panoramic radiographic image 14% 684 409 $21K
D0150 Comprehensive oral evaluation - new or established patient 8.5% 690 411 $12K
D1110 Prophylaxis - adult 6.6% 224 221 $10K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 5.4% 429 423 $8K
D1208 Topical application of fluoride, excluding varnish 5.3% 389 389 $8K
D1120 Dental cleaning, childProphylaxis - child <1% 15 15 $502.80

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.