Matos, Luis

Matos, Luis was paid $16K by Medicaid between Jul 2022 and Aug 2022, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 40% of everything it billed.

33Billing provider infoMATOS, LUIS
JUPITER, FL 33458

33aNPI1619295771assigned 05/12/2010

33bProvider typePediatric Dentist

28Total paid$16K

24GClaims1,013

24DCodes billed10

24AFirst – last monthJul 2022 – Aug 2022

Compared with peers

Next to other Pediatric Dentist providers in Florida

Rank by total paid#185 of 246

Median peer was paid$107K

This provider vs. median0.2×

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	1,013	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	40%	147	144	$7K
D0230	Intraoral - periapical each additional radiographic image	40%	152	149	$6K
D1110	Prophylaxis - adult	11%	17	17	$2K
D0330	Panoramic radiographic image	8.9%	13	12	$1K
D1120	Dental cleaning, childProphylaxis - child	<1%	138	135	$109.22
D1206	Topical application of fluoride varnish	<1%	145	142	$42.52
D0220	Intraoral - periapical first radiographic image	0%	158	155	$0.00
D0274	Bitewings - four radiographic images	0%	15	15	$0.00
D1330		0%	156	153	$0.00
D0272	Bitewings - two radiographic images	0%	72	69	$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.