Perez, Vidal

Perez, Vidal was paid $57K by Medicaid between Jan 2018 and Aug 2023, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 41% of everything it billed.

33Billing provider infoPEREZ, VIDAL
GUAYAMA, PR 00784

33aNPI1013045210assigned 03/01/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$57K

24GClaims3,484

24DCodes billed8

24AFirst – last monthJan 2018 – Aug 2023

Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#332 of 551

Median peer was paid$99K

This provider vs. median0.6×

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
2018	1,347	$19K
2019	1,081	$19K
2020	300	$6K
2021	509	$8K
2022	234	$5K
2023	13	$188.92

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	41%	931	737	$23K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	756	606	$9K
D0272	Bitewings - two radiographic images	13%	581	437	$7K
D0330	Panoramic radiographic image	11%	235	184	$6K
D0150	Comprehensive oral evaluation - new or established patient	8.1%	339	236	$5K
D1999		7.7%	423	383	$4K
D1208	Topical application of fluoride, excluding varnish	4.5%	196	142	$3K
D1120	Dental cleaning, childProphylaxis - child	<1%	23	20	$307.26

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.