Dental
Iravedra, Luis
Iravedra, Luis was paid $419K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.
33Billing provider infoIRAVEDRA, LUIS
TOA ALTA, PR 00953
TOA ALTA, PR 00953
33aNPI1760595334assigned 08/16/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$419K
24GClaims31,191
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#84 of 551
Median peer was paid$99K
This provider vs. median4.2×
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 | |
|---|---|---|---|
| 2018 | 4,572 | $43K | |
| 2019 | 4,565 | $56K | |
| 2020 | 2,516 | $38K | |
| 2021 | 5,027 | $71K | |
| 2022 | 4,606 | $68K | |
| 2023 | 5,035 | $70K | |
| 2024incomplete | 4,870 | $71K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 26% | 4,174 | 4,063 | $109K |
| D0230 | Intraoral - periapical each additional radiographic image | 16% | 9,720 | 3,050 | $67K |
| D1999 | 15% | 4,244 | 3,990 | $61K | |
| D0272 | Bitewings - two radiographic images | 11% | 3,247 | 3,179 | $46K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.3% | 2,870 | 2,810 | $39K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.3% | 1,764 | 1,716 | $35K |
| D0220 | Intraoral - periapical first radiographic image | 5.5% | 3,101 | 3,035 | $23K |
| D1208 | Topical application of fluoride, excluding varnish | 3.1% | 926 | 920 | $13K |
| D2140 | 2.2% | 315 | 149 | $9K | |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 484 | 467 | $8K |
| D2940 | 1.3% | 185 | 79 | $5K | |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 161 | 161 | $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.