Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Lafontaine, Edwin

Lafontaine, Edwin was paid $190K by Medicaid between Jan 2018 and Oct 2024, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.

33Billing provider infoLAFONTAINE, EDWIN
CEIBA, PR 00735
33aNPI1629185822assigned 08/24/2006
28Total paid$190K
24GClaims10,684
24DCodes billed16
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#192 of 551
Median peer was paid$99K
This provider vs. median1.9×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20185,317$80K
20191,247$25K
20201,344$31K
20211,305$25K
2022853$17K
2023237$4K
2024incomplete381$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 29% 2,096 1,901 $55K
D0150 Comprehensive oral evaluation - new or established patient 13% 1,440 1,310 $25K
D0272 Bitewings - two radiographic images 12% 1,692 1,558 $23K
D1999 10% 1,415 1,260 $19K
D0330 Panoramic radiographic image 7.6% 476 463 $14K
D2140 6.0% 488 225 $11K
D1208 Topical application of fluoride, excluding varnish 5.8% 801 713 $11K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 4.8% 838 764 $9K
D1120 Dental cleaning, childProphylaxis - child 3.5% 409 357 $7K
D7140 Extraction, erupted tooth or exposed root 2.7% 240 148 $5K
D2335 2.1% 73 37 $4K
D0140 Limited oral evaluation - problem focused 1.1% 239 168 $2K
4 more codes
D2150 Silver amalgam - two surfaces, primary or permanent <1% 55 $1K
D9110 <1% 125 $1K
D0220 Intraoral - periapical first radiographic image <1% 241 $947.12
D0230 Intraoral - periapical each additional radiographic image <1% 56 $177.00

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.