Rodriguez, Nelson

Rodriguez, Nelson was paid $35K by Medicaid between Feb 2018 and Jun 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 50% of everything it billed.

33Billing provider infoRODRIGUEZ, NELSON
BAYAMON, PR 00961

33aNPI1013956168assigned 06/05/2006

33bProvider typeProsthodontist

28Total paid$35K

24GClaims2,080

24DCodes billed8

24AFirst – last monthFeb 2018 – Jun 2024

Compared with peers

Next to other Prosthodontist providers in Puerto Rico

Rank by total paid#6 of 17

Median peer was paid$20K

This provider vs. median1.7×

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	176	$3K
2019	120	$3K
2020	528	$10K
2021	869	$14K
2022	291	$4K
2023	69	$1K
2024incomplete	27	$387.27

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	50%	682	635	$18K
D1999		23%	689	634	$8K
D0150	Comprehensive oral evaluation - new or established patient	9.4%	157	149	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	7.8%	228	210	$3K
D0140	Limited oral evaluation - problem focused	5.4%	124	117	$2K
D0272	Bitewings - two radiographic images	1.6%	38	38	$557.83
D0230	Intraoral - periapical each additional radiographic image	1.4%	99	20	$491.26
D0220	Intraoral - periapical first radiographic image	1.2%	63	62	$424.60

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.