Dental
NPI deactivated
Lucero, Charles
Lucero, Charles was paid $933K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoLUCERO, CHARLES
KINGMAN, AZ 86401
KINGMAN, AZ 86401
33aNPI1710988787assigned 08/02/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$933K
24GClaims34,881
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Arizona
Rank by total paid#22 of 530
Median peer was paid$920.17
This provider vs. median1,014×
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 | 12,894 | $302K | |
| 2019 | 14,039 | $385K | |
| 2020 | 3,911 | $126K | |
| 2021 | 622 | $12K | |
| 2022 | 1,064 | $25K | |
| 2023 | 1,319 | $44K | |
| 2024incomplete | 1,032 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 4,366 | 4,270 | $143K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 4,837 | 4,747 | $108K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 11% | 1,692 | 809 | $99K |
| D1208 | Topical application of fluoride, excluding varnish | 9.8% | 5,951 | 5,826 | $91K |
| D1351 | Sealant - per tooth | 7.8% | 3,471 | 885 | $73K |
| D1110 | Prophylaxis - adult | 7.1% | 1,706 | 1,677 | $66K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.8% | 850 | 506 | $63K |
| D0330 | Panoramic radiographic image | 6.5% | 1,202 | 1,177 | $60K |
| D0140 | Limited oral evaluation - problem focused | 6.0% | 1,732 | 1,688 | $56K |
| D7140 | Extraction, erupted tooth or exposed root | 4.6% | 604 | 326 | $43K |
| D0274 | Bitewings - four radiographic images | 3.6% | 1,718 | 1,676 | $34K |
| D0220 | Intraoral - periapical first radiographic image | 2.9% | 2,364 | 2,299 | $27K |
9 more codes
| D0272 | Bitewings - two radiographic images | 2.7% | 1,757 | $25K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 899 | $24K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 336 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 499 | $5K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 38 | $4K |
| D0270 | <1% | 327 | $3K | |
| D0240 | <1% | 223 | $3K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 12 | $296.63 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 297 | $69.58 |
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.