Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Bautista Perez, Edda

Bautista Perez, Edda was paid $750K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.

33Billing provider infoBAUTISTA PEREZ, EDDA
JUNCOS, PR 00777
33aNPI1043218183assigned 07/12/2005
28Total paid$750K
24GClaims41,560
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#28 of 551
Median peer was paid$99K
This provider vs. median7.6×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20185,290$80K
20197,889$136K
20203,115$64K
20212,437$40K
20228,356$152K
20237,256$142K
2024incomplete7,217$137K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 22% 5,888 5,342 $162K
D0230 Intraoral - periapical each additional radiographic image 15% 5,004 3,465 $110K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 11% 6,052 5,477 $81K
D1999 9.0% 5,300 4,850 $68K
D2140 7.9% 1,941 1,101 $59K
D0272 Bitewings - two radiographic images 6.9% 3,662 3,267 $52K
D1208 Topical application of fluoride, excluding varnish 6.7% 3,642 3,240 $50K
D2150 Silver amalgam - two surfaces, primary or permanent 6.0% 1,199 875 $45K
D1120 Dental cleaning, childProphylaxis - child 5.4% 2,171 1,919 $40K
D0150 Comprehensive oral evaluation - new or established patient 5.2% 2,016 1,797 $39K
D0220 Intraoral - periapical first radiographic image 3.9% 4,197 3,770 $29K
D7140 Extraction, erupted tooth or exposed root 1.7% 372 256 $13K
2 more codes
D0140 Limited oral evaluation - problem focused <1% 100 $1K
D2335 <1% 16 $1K

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.