Sepulveda, Walter

Sepulveda, Walter was paid $346K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.

33Billing provider infoSEPULVEDA, WALTER
ARECIBO, PR 00612

33aNPI1598725947assigned 03/27/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$346K

24GClaims18,861

24DCodes billed16

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#114 of 551

Median peer was paid$99K

This provider vs. median3.5×

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	2,695	$44K
2019	4,636	$77K
2020	2,386	$50K
2021	2,199	$43K
2022	2,317	$41K
2023	1,458	$28K
2024incomplete	3,170	$62K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	23%	3,000	2,503	$80K
D1999		17%	3,723	3,203	$58K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	11%	2,910	2,429	$39K
D0150	Comprehensive oral evaluation - new or established patient	10.0%	1,755	1,470	$35K
D1208	Topical application of fluoride, excluding varnish	9.1%	2,239	1,855	$31K
D1120	Dental cleaning, childProphylaxis - child	8.8%	1,637	1,354	$31K
D2140		8.0%	1,040	487	$28K
D2150	Silver amalgam - two surfaces, primary or permanent	6.1%	638	364	$21K
D0272	Bitewings - two radiographic images	2.9%	711	640	$10K
D0220	Intraoral - periapical first radiographic image	1.2%	643	541	$4K
D2161		<1%	49	42	$3K
D1351	Sealant - per tooth	<1%	154	13	$2K

4 more codes

D0230	Intraoral - periapical each additional radiographic image	<1%	227	$1K
D0140	Limited oral evaluation - problem focused	<1%	73	$1K
D2940		<1%	48	$857.00
D2160		<1%	14	$798.90

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.