Dental
Matabar, Enrique
Matabar, Enrique was paid $4K by Medicaid between Aug 2022 and Feb 2023, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 45% of everything it billed.
33Billing provider infoMATABAR, ENRIQUE
WASHINGTON, DC 20002
WASHINGTON, DC 20002
33aNPI1477864916assigned 06/30/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$4K
24GClaims67
24DCodes billed4
24AFirst – last monthAug 2022 – Feb 2023
Compared with peers
Next to other General Practice Dentistry providers in District of Columbia
Rank by total paid#73 of 93
Median peer was paid$36K
This provider vs. median0.1×
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 | 38 | $2K | |
| 2023 | 29 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 45% | 29 | 26 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 23% | 14 | 14 | $820.05 |
| D0330 | Panoramic radiographic image | 21% | 12 | 12 | $736.92 |
| D0274 | Bitewings - four radiographic images | 11% | 12 | 12 | $389.48 |
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.