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    OpenPayerNPI Medicare & MedicaidOsvaldo Barnecet Lugo
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    Osvaldo Barnecet Lugo — Billing Profile & Reimbursement Data

    NPI 1033114046 · Caguas, PR · Pediatric Dentistry

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    Osvaldo Barnecet Lugo is a pediatric dentistry provider located in Caguas, Puerto Rico. This profile covers 0 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Progress1 / 7

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationOsvaldo Barnecet Lugo
    AddressCarretera # 1 A-6
    CityCaguas
    StatePR
    ZIP00725
    TaxonomyPediatric Dentistry
    NPI EnumeratedJune 16, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$869K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1120Prophylaxis–child7,390$20$140.5K
    D1208Topical application of fluoride - excluding varnish9,380$10$131.3K
    D1999N/A9,490$10$123.3K
    D0120Periodic oral evaluation - established patient7,590$10$106.3K
    D2150Amalgam - two surfaces, primary or permanent2,350$40$87K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)2,350$30$79.9K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth2,540$30$63.5K
    D0272N/A3,520$10$49.3K
    D2140Amalgam - one surface, primary or permanent1,520$30$48.7K
    D0150Comprehensive oral evaluation – new or established patient1,750$20$34.9K

    Showing 1–10 of 13

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Puerto Rico providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Puerto Rico median

    13 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D1110Prophylaxis - adult; cleaning and polishing of the teeth2709901,060$30$53.1K
    D1999N/A349501,350$10$35.1K
    D0120Periodic oral evaluation - established patient30940880$10$24.2K
    D0272N/A102880710$10$20.7K
    D2150Amalgam - two surfaces, primary or permanent24550210$40$20.7K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)17410180$40$18.5K
    D0150Comprehensive oral evaluation – new or established patient151910540$20$18.1K
    D1208Topical application of fluoride - excluding varnish6810500$10$16K
    D1120Prophylaxis–child5690260$20$14.5K
    D0230Intraoral - periapical each additional radiographic image476480630$10$13.4K

    Showing 1–10 of 13

    Nearby Providers

    Other providers in the same ZIP code as Osvaldo Barnecet Lugo, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Laboratorio Clinico Borinquen, IncPRClinical Medical Laboratory$1.4M$37.1M
    Msl Therapeutical Services, PscPROccupational Therapist$0$12.8M
    Laboratorio Clinico Bairoa IncPRClinical Medical Laboratory$271.3K$11.3M
    Centro Medico Del Turabo IncPRMulti-Specialty Clinic/Center$0$10.8M
    Mediko Imaging Inc.PRRadiology Clinic/Center$0$6.8M
    Consolidated Radiology Complex CspPRRadiology Clinic/Center$0$6.8M
    Caribbean Heart Institute LLCPRClinical Cardiac Electrophysiology Physician$0$5.7M
    Nuscan CspPRNuclear Medicine Physician$0$5.5M
    Conmed Laboratories IncPRClinical Medical Laboratory$105.5K$5.4M
    Sps Specialty Pharmacy Services IncPRSpecialty Pharmacy$0$4.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Puerto Rico Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    Osvaldo Barnecet Lugo — 6 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico