Dental
Efrain S. Ruiz
Efrain S. Ruiz was paid $5.82M by Medicaid between Jan 2018 and Mar 2023, across 22 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 17% of everything it billed.
33Billing provider infoEFRAIN S. RUIZ
BROCKTON, MA 02301
BROCKTON, MA 02301
33aNPI1639342116assigned 04/07/2008
33bProvider typePediatric Dentist
28Total paid$5.82M
24GClaims114,061
24DCodes billed22
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Pediatric Dentist providers in Massachusetts
Rank by total paid#10 of 144
Median peer was paid$511K
This provider vs. median11×
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 | 23,518 | $1.19M | |
| 2019 | 23,325 | $1.19M | |
| 2020 | 17,570 | $901K | |
| 2021 | 21,161 | $1.10M | |
| 2022 | 23,222 | $1.17M | |
| 2023 | 5,265 | $263K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 17% | 3,982 | 3,861 | $998K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 18,740 | 18,626 | $964K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 24,472 | 24,321 | $715K |
| D1206 | Topical application of fluoride varnish | 12% | 26,680 | 26,516 | $702K |
| D1110 | Prophylaxis - adult | 10.0% | 8,282 | 8,230 | $580K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.3% | 3,317 | 2,621 | $307K |
| D1351 | Sealant - per tooth | 4.3% | 6,189 | 1,756 | $252K |
| D7140 | Extraction, erupted tooth or exposed root | 4.2% | 2,467 | 1,813 | $247K |
| D2140 | 3.7% | 2,844 | 2,308 | $214K | |
| D0272 | Bitewings - two radiographic images | 2.8% | 5,466 | 5,435 | $165K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 2,560 | 2,539 | $149K |
| D9110 | 2.5% | 1,954 | 1,920 | $143K |
10 more codes
| D0274 | Bitewings - four radiographic images | 2.5% | 3,277 | $143K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 583 | $52K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 567 | $50K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 348 | $40K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,579 | $32K |
| D8680 | <1% | 286 | $26K | |
| D0330 | Panoramic radiographic image | <1% | 255 | $20K |
| D2330 | <1% | 122 | $11K | |
| D8690 | <1% | 64 | $5K | |
| D8660 | <1% | 27 | $3K |
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.
From NPPES
Who's on the registration
Authorized officialRUIZ, EFRAIN (OWNER)