Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lopez, Marisa

Lopez, Marisa was paid $313K by Medicaid between Jan 2018 and Mar 2022, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 28% of everything it billed.

33Billing provider infoLOPEZ, MARISA
CHARLOTTE, NC 28277
33aNPI1972844264assigned 03/12/2013
28Total paid$313K
24GClaims12,048
24DCodes billed17
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers

Next to other Student in an Organized Health Care Education/Training Program providers in North Carolina

Rank by total paid#5 of 45
Median peer was paid$9K
This provider vs. median35×

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$10K$20K$30K2018201920202021202220232024
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
2018922$21K
20192,757$72K
20204,974$127K
20213,358$92K
202237$946.60
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 28% 2,554 2,554 $86K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 20% 2,629 2,629 $61K
D1206 Topical application of fluoride varnish 11% 1,330 1,330 $34K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 10% 607 327 $32K
D1351 Sealant - per tooth 5.8% 520 173 $18K
D1208 Topical application of fluoride, excluding varnish 5.8% 1,475 1,475 $18K
D0272 Bitewings - two radiographic images 4.9% 1,110 1,110 $15K
D1110 Prophylaxis - adult 4.6% 330 330 $14K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.9% 303 186 $12K
D0150 Comprehensive oral evaluation - new or established patient 2.2% 288 288 $7K
D0240 1.9% 456 252 $6K
D7140 Extraction, erupted tooth or exposed root 1.4% 86 60 $4K
5 more codes
D0330 Panoramic radiographic image <1% 79 $3K
D0220 Intraoral - periapical first radiographic image <1% 59 $711.76
D0140 Limited oral evaluation - problem focused <1% 49 $633.77
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 0% 43 $0.00
D1999 0% 130 $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.