Dental
Lugo-Matias, Edwin
Lugo-Matias, Edwin was paid $15K by Medicaid between Jan 2018 and Oct 2022, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 83% of everything it billed.
33Billing provider infoLUGO-MATIAS, EDWIN
JUANA DIAZ, PR 00795
JUANA DIAZ, PR 00795
33aNPI1487640793assigned 09/22/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$15K
24GClaims716
24DCodes billed4
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#427 of 551
Median peer was paid$99K
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 | |
|---|---|---|---|
| 2018 | 50 | $1K | |
| 2019 | 29 | $900.40 | |
| 2020 | 138 | $2K | |
| 2021 | 340 | $6K | |
| 2022 | 159 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 83% | 327 | 308 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 163 | 150 | $2K |
| D0272 | Bitewings - two radiographic images | 2.0% | 19 | 18 | $295.07 |
| D1999 | 0% | 207 | 191 | $0.00 |
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.