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

Rugama, Edward

Rugama, Edward was paid $196K by Medicaid between Dec 2020 and Dec 2024, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.

33Billing provider infoRUGAMA, EDWARD
RICHMOND, TX 77407
33aNPI1861832917assigned 07/02/2013
33bProvider typeDentist
28Total paid$196K
24GClaims11,461
24DCodes billed15
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers

Next to other Dentist providers in Texas

Rank by total paid#506 of 1,678
Median peer was paid$35K
This provider vs. median5.7×

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
2020139$2K
20211,829$32K
20222,851$48K
20233,321$57K
2024incomplete3,321$57K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 23% 1,364 1,337 $46K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 19% 1,342 1,316 $36K
D1208 Topical application of fluoride, excluding varnish 12% 2,062 2,015 $23K
D0145 Oral evaluation for a patient under three years of age 11% 162 158 $21K
D0272 Bitewings - two radiographic images 10% 922 904 $20K
D0220 Intraoral - periapical first radiographic image 8.5% 1,559 1,508 $17K
D0230 Intraoral - periapical each additional radiographic image 7.8% 1,572 1,433 $15K
D1110 Prophylaxis - adult 2.5% 97 97 $5K
D1351 Sealant - per tooth 2.5% 194 29 $5K
D0150 Comprehensive oral evaluation - new or established patient 2.0% 123 121 $4K
D0274 Bitewings - four radiographic images 2.0% 122 121 $4K
D0140 Limited oral evaluation - problem focused <1% 17 16 $300.48
3 more codes
D0603 0% 1,821 $0.00
D0602 0% 21 $0.00
D0601 0% 83 $0.00

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.