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

Betances Rahola, Luis

Betances Rahola, Luis was paid $23K by Medicaid between Jan 2018 and Jul 2022, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.

33Billing provider infoBETANCES RAHOLA, LUIS
CAROLINA, PR 00979
33aNPI1063479616assigned 04/27/2006
33bProvider typeDentist
28Total paid$23K
24GClaims1,635
24DCodes billed14
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers

Next to other Dentist providers in Puerto Rico

Rank by total paid#205 of 284
Median peer was paid$86K
This provider vs. median0.3×

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$5.0K$10K2018201920202021202220232024
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
20181,290$16K
201983$2K
202063$1K
202155$580.40
2022144$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 29% 301 265 $7K
D0150 Comprehensive oral evaluation - new or established patient 18% 268 248 $4K
D1999 8.6% 139 114 $2K
D0272 Bitewings - two radiographic images 8.2% 146 140 $2K
D2140 8.2% 89 41 $2K
D1351 Sealant - per tooth 6.0% 103 16 $1K
D1208 Topical application of fluoride, excluding varnish 5.5% 96 93 $1K
D0230 Intraoral - periapical each additional radiographic image 4.8% 310 70 $1K
D1120 Dental cleaning, childProphylaxis - child 3.0% 43 42 $680.40
D7140 Extraction, erupted tooth or exposed root 2.2% 22 14 $495.00
D0330 Panoramic radiographic image 1.9% 16 16 $432.04
D2150 Silver amalgam - two surfaces, primary or permanent 1.8% 19 15 $425.40
2 more codes
D0220 Intraoral - periapical first radiographic image 1.4% 61 $324.00
D0120 Dental checkup, returning patient <1% 22 $178.20

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.