Clinic
Gilberto Lopez DDS INC
Gilberto Lopez DDS INC was paid $180K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 41% of everything it billed.
33Billing provider infoGILBERTO LOPEZ DDS INC
FORT SMITH, AR 72901
FORT SMITH, AR 72901
33aNPI1902068018assigned 06/30/2008
33bProvider typeDental Clinic/Center
28Total paid$180K
24GClaims6,667
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Arkansas
Rank by total paid#33 of 117
Median peer was paid$43K
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 | 549 | $14K | |
| 2019 | 423 | $9K | |
| 2020 | 638 | $17K | |
| 2021 | 1,144 | $31K | |
| 2022 | 1,394 | $39K | |
| 2023 | 1,300 | $36K | |
| 2024incomplete | 1,219 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 41% | 1,736 | 1,663 | $74K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 1,789 | 1,719 | $43K |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 1,663 | 1,592 | $30K |
| D0272 | Bitewings - two radiographic images | 14% | 1,275 | 1,236 | $25K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.4% | 190 | 183 | $6K |
| D0140 | Limited oral evaluation - problem focused | <1% | 14 | 14 | $468.80 |
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 officialLOPEZ, GILBERTO (DDS)