Dental
Ar Dental Clinic LLC
Ar Dental Clinic LLC was paid $133K by Medicaid between Mar 2021 and Nov 2024, across 11 billing codes. Its largest line is D1999, — 26% of everything it billed.
33Billing provider infoAR DENTAL CLINIC LLC
JUNCOS, PR 00777
JUNCOS, PR 00777
33aNPI1043855463assigned 11/08/2019
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$133K
24GClaims7,988
24DCodes billed11
24AFirst – last monthMar 2021 – Nov 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Puerto Rico
Rank by total paid#15 of 38
Median peer was paid$66K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2021 | 1,475 | $23K | |
| 2022 | 2,176 | $36K | |
| 2023 | 2,144 | $36K | |
| 2024incomplete | 2,193 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1999 | 26% | 2,449 | 1,876 | $35K | |
| D1110 | Prophylaxis - adult | 25% | 1,123 | 951 | $34K |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 1,216 | 735 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 605 | 542 | $14K |
| D0272 | Bitewings - two radiographic images | 7.5% | 680 | 601 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.2% | 624 | 504 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 5.2% | 875 | 754 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 3.2% | 298 | 264 | $4K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.9% | 51 | 36 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 41 | 40 | $820.00 |
| D0140 | Limited oral evaluation - problem focused | <1% | 26 | 15 | $472.86 |
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 officialRIVERA, ADA (PRESIDENT)