Dental
Lopez, Matthew
Lopez, Matthew was paid $206.00 by Medicaid between Jul 2022 and Aug 2022, across 3 billing codes. Its largest line is D1330, — 91% of everything it billed.
33Billing provider infoLOPEZ, MATTHEW
PALMETTO, FL 34221
PALMETTO, FL 34221
33aNPI1932622917assigned 07/20/2017
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$206.00
24GClaims39
24DCodes billed3
24AFirst – last monthJul 2022 – Aug 2022
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Florida
Rank by total paid#84 of 87
Median peer was paid$44K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2022 | 39 | $206.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1330 | 91% | 12 | 12 | $187.00 | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.2% | 15 | 15 | $19.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 12 | 12 | $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.