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

Rivera Lugo, Carlos

Rivera Lugo, Carlos was paid $308K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.

33Billing provider infoRIVERA LUGO, CARLOS
MANATI, PR 00674
33aNPI1982798872assigned 10/03/2006
28Total paid$308K
24GClaims23,169
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#128 of 551
Median peer was paid$99K
This provider vs. median3.1×

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$5.0K$10K$15K2018201920202021202220232024
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
20184,467$48K
20196,834$77K
20202,918$45K
20213,795$53K
20223,148$47K
2023681$12K
2024incomplete1,326$26K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 27% 3,196 2,683 $83K
D1999 15% 3,130 2,741 $46K
D0230 Intraoral - periapical each additional radiographic image 12% 5,997 1,806 $36K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 11% 2,639 2,222 $34K
D0272 Bitewings - two radiographic images 9.9% 2,205 1,880 $30K
D0150 Comprehensive oral evaluation - new or established patient 7.8% 1,344 1,138 $24K
D1208 Topical application of fluoride, excluding varnish 6.5% 1,477 1,213 $20K
D0220 Intraoral - periapical first radiographic image 4.9% 2,253 1,923 $15K
D1120 Dental cleaning, childProphylaxis - child 3.3% 624 495 $10K
D7140 Extraction, erupted tooth or exposed root 2.5% 256 167 $8K
D2140 <1% 34 25 $1K
D2160 <1% 14 12 $424.40

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.