Dental
Dominguez, Lori
Dominguez, Lori was paid $334K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.
33Billing provider infoDOMINGUEZ, LORI
FORT MILL, SC 29715
FORT MILL, SC 29715
33aNPI1558341479assigned 01/18/2006
33bProvider typeDentist
28Total paid$334K
24GClaims12,423
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in South Carolina
Rank by total paid#39 of 166
Median peer was paid$67K
This provider vs. median5.0×
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 | 2,874 | $94K | |
| 2019 | 1,611 | $40K | |
| 2020 | 1,231 | $29K | |
| 2021 | 2,043 | $53K | |
| 2022 | 2,015 | $51K | |
| 2023 | 1,420 | $34K | |
| 2024incomplete | 1,229 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 26% | 1,714 | 1,714 | $86K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 2,208 | 2,208 | $51K |
| D0274 | Bitewings - four radiographic images | 12% | 1,442 | 1,442 | $39K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 376 | 219 | $38K |
| D1206 | Topical application of fluoride varnish | 10% | 2,108 | 2,108 | $35K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.3% | 603 | 603 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 5.9% | 1,558 | 1,547 | $20K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.7% | 1,816 | 1,331 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.2% | 183 | 99 | $14K |
| D0330 | Panoramic radiographic image | 2.3% | 158 | 158 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 77 | 77 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 129 | 129 | $2K |
2 more codes
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.