Melendez, Rafael

Melendez, Rafael was paid $5K by Medicaid between May 2018 and Jul 2019, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 38% of everything it billed.

33Billing provider infoMELENDEZ, RAFAEL
DORADO, PR 00646

33aNPI1023108339assigned 10/15/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$5K

24GClaims280

24DCodes billed4

24AFirst – last monthMay 2018 – Jul 2019

Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#478 of 551

Median peer was paid$99K

This provider vs. median0.0×

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	254	$4K
2019	26	$503.10

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	38%	84	70	$2K
D0330	Panoramic radiographic image	31%	61	52	$2K
D0272	Bitewings - two radiographic images	18%	68	58	$868.50
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	67	54	$646.20

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.