Dental
OIG excluded
Souza, Sergio
Souza, Sergio was paid $0.00 by Medicaid between Jan 2018 and Mar 2019, across 7 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 0% of everything it billed.
33Billing provider infoSOUZA, SERGIO
LITCHFIELD PARK, AZ 85340
LITCHFIELD PARK, AZ 85340
33aNPI1952778532assigned 08/30/2015
33bProvider typeDentist
28Total paid$0.00
24GClaims384
24DCodes billed7
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Dentist providers in Arizona
Rank by total paid#315 of 468
Median peer was paid$686.85
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
OIG exclusionListed on the federal exclusion list (11/20/2024).
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 | 311 | $0.00 | |
| 2019 | 73 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 0% | 111 | 91 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 35 | 31 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 17 | 14 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 13 | 12 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 119 | 107 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 50 | 44 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 39 | 36 | $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.