Arroyo-Ortiz, Mayra

Arroyo-Ortiz, Mayra was paid $12K by Medicaid between Jul 2020 and Aug 2021, across 8 billing codes. Its largest line is D1999, — 46% of everything it billed.

33Billing provider infoARROYO-ORTIZ, MAYRA
AIBONITO, PR 00705

33aNPI1053378992assigned 04/26/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$12K

24GClaims822

24DCodes billed8

24AFirst – last monthJul 2020 – Aug 2021

Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#436 of 551

Median peer was paid$99K

This provider vs. median0.1×

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
2020	630	$10K
2021	192	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1999		46%	316	280	$6K
D1110	Prophylaxis - adult	17%	76	66	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	9.5%	83	73	$1K
D0272	Bitewings - two radiographic images	7.8%	65	58	$949.76
D0230	Intraoral - periapical each additional radiographic image	7.5%	141	44	$908.84
D0220	Intraoral - periapical first radiographic image	5.9%	98	93	$715.09
D0140	Limited oral evaluation - problem focused	4.1%	31	31	$498.42
D0150	Comprehensive oral evaluation - new or established patient	2.2%	12	12	$270.96

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.