Negron, Pepe

Negron, Pepe was paid $206K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 33% of everything it billed.

33Billing provider infoNEGRON, PEPE
GUAYNABO, PR 00969

33aNPI1033185426assigned 02/24/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$206K

24GClaims11,030

24DCodes billed8

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#181 of 551

Median peer was paid$99K

This provider vs. median2.1×

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	996	$14K
2019	2,081	$39K
2020	981	$21K
2021	1,356	$23K
2022	1,800	$34K
2023	1,731	$32K
2024incomplete	2,085	$43K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	33%	2,570	2,209	$68K
D1999		20%	2,917	2,426	$42K
D0330	Panoramic radiographic image	16%	1,174	978	$32K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	1,858	1,629	$25K
D0150	Comprehensive oral evaluation - new or established patient	9.0%	1,011	829	$18K
D0272	Bitewings - two radiographic images	7.6%	1,145	970	$16K
D1208	Topical application of fluoride, excluding varnish	1.9%	307	238	$4K
D1120	Dental cleaning, childProphylaxis - child	<1%	48	32	$616.40

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.