Clinic
San Francisco Dental, LLC
San Francisco Dental, LLC was paid $18K by Medicaid between Jan 2018 and Aug 2024, across 5 billing codes. Its largest line is D1999, — 51% of everything it billed.
33Billing provider infoSAN FRANCISCO DENTAL, LLC
SAN JUAN, PR 00927
SAN JUAN, PR 00927
33aNPI1033551445assigned 07/26/2013
33bProvider typeDental Clinic/Center
28Total paid$18K
24GClaims940
24DCodes billed5
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Dental Clinic/Center providers in Puerto Rico
Rank by total paid#63 of 81
Median peer was paid$94K
This provider vs. median0.2×
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 | 91 | $2K | |
| 2020 | 106 | $2K | |
| 2021 | 192 | $3K | |
| 2022 | 279 | $5K | |
| 2023 | 109 | $2K | |
| 2024incomplete | 163 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1999 | 51% | 574 | 475 | $9K | |
| D1110 | Prophylaxis - adult | 38% | 234 | 201 | $7K |
| D0272 | Bitewings - two radiographic images | 5.6% | 64 | 53 | $982.77 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.7% | 56 | 56 | $655.44 |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 12 | 12 | $292.92 |
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 officialMENDEZ, NANETTE (PRESIDENT)