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

Vera-Caraballo, Lionel

Vera-Caraballo, Lionel was paid $1.28M by Medicaid between Aug 2018 and Dec 2024, across 27 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.

33Billing provider infoVERA-CARABALLO, LIONEL
LIBERTY, NY 12754
33aNPI1932510211assigned 05/08/2014
33bProvider typePediatric Dentist
28Total paid$1.28M
24GClaims52,190
24DCodes billed27
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in New York

Rank by total paid#95 of 514
Median peer was paid$196K
This provider vs. median6.5×

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$20K$40K$60K2018201920202021202220232024
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
20181,501$40K
20194,939$135K
20207,159$195K
20216,832$187K
2022878$22K
202314,548$334K
2024incomplete16,333$363K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 19% 6,916 6,900 $248K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 15% 7,877 7,867 $193K
D1351 Sealant - per tooth 11% 4,165 1,068 $141K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 7.2% 1,565 1,048 $92K
D7140 Extraction, erupted tooth or exposed root 7.0% 2,037 1,067 $90K
D0274 Bitewings - four radiographic images 6.7% 3,328 3,325 $85K
D1208 Topical application of fluoride, excluding varnish 6.3% 6,447 6,435 $80K
D1110 Prophylaxis - adult 5.5% 1,544 1,543 $71K
D0220 Intraoral - periapical first radiographic image 5.4% 5,812 5,763 $69K
D1206 Topical application of fluoride varnish 4.1% 2,103 2,094 $53K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.1% 925 629 $40K
D0272 Bitewings - two radiographic images 2.8% 2,701 2,696 $36K
15 more codes
D2930 Prefabricated stainless steel crown - primary tooth 2.6% 370 $33K
D0230 Intraoral - periapical each additional radiographic image 1.3% 2,966 $16K
D0150 Comprehensive oral evaluation - new or established patient 1.1% 612 $14K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 57 $5K
D0330 Panoramic radiographic image <1% 122 $4K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 110 $4K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 17 $1K
D0210 Intraoral - complete series of radiographic images <1% 70 $1K
D0145 Oral evaluation for a patient under three years of age <1% 43 $1K
D0270 <1% 48 $522.97
D1330 <1% 716 $120.00
D1999 0% 714 $0.00
D0603 0% 225 $0.00
D1310 0% 200 $0.00
D0602 0% 500 $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.