Clinic
Superior Dental
Superior Dental was paid $127K by Medicaid between May 2022 and Dec 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 35% of everything it billed.
33Billing provider infoSUPERIOR DENTAL
BAYAMON, PR 00957
BAYAMON, PR 00957
33aNPI1023698529assigned 04/09/2021
33bProvider typeDental Clinic/Center
28Total paid$127K
24GClaims6,833
24DCodes billed10
24AFirst – last monthMay 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Puerto Rico
Rank by total paid#37 of 81
Median peer was paid$94K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2022 | 925 | $17K | |
| 2023 | 1,773 | $31K | |
| 2024incomplete | 4,135 | $79K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 35% | 1,558 | 1,122 | $45K |
| D1999 | 23% | 2,128 | 1,577 | $30K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 1,428 | 1,007 | $22K |
| D0272 | Bitewings - two radiographic images | 9.8% | 854 | 624 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 4.4% | 388 | 289 | $6K |
| D0330 | Panoramic radiographic image | 4.4% | 185 | 122 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 187 | 166 | $5K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.2% | 32 | 25 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 61 | 48 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12 | 12 | $103.20 |
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.
From NPPES
Who's on the registration
Authorized officialROSADO ALBACARYS, LAURA (PRESIDENT)