Letelier, Carlos

Letelier, Carlos was paid $120K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 41% of everything it billed.

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	1,187	$52K
2019	513	$24K
2020	309	$11K
2021	292	$11K
2022	252	$13K
2023	213	$6K
2024incomplete	144	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	41%	642	111	$49K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	16%	251	220	$19K
D0330	Panoramic radiographic image	15%	766	704	$18K
D9222		9.6%	290	219	$12K
D0140	Limited oral evaluation - problem focused	8.4%	368	323	$10K
D9612		6.4%	231	202	$8K
D0190		4.0%	362	344	$5K

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.