Dental
Portela-Vales, Jose
Portela-Vales, Jose was paid $354K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.
33Billing provider infoPORTELA-VALES, JOSE
VEGA BAJA, PR 00693
VEGA BAJA, PR 00693
33aNPI1063489722assigned 03/01/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$354K
24GClaims24,922
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#111 of 551
Median peer was paid$99K
This provider vs. median3.6×
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
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 | 4,922 | $58K | |
| 2019 | 5,532 | $70K | |
| 2020 | 2,551 | $39K | |
| 2021 | 3,598 | $54K | |
| 2022 | 3,728 | $57K | |
| 2023 | 1,922 | $29K | |
| 2024incomplete | 2,669 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 27% | 3,614 | 3,216 | $95K |
| D1999 | 13% | 3,094 | 2,821 | $45K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 3,112 | 2,721 | $42K |
| D0272 | Bitewings - two radiographic images | 11% | 2,677 | 2,427 | $37K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.7% | 1,583 | 1,440 | $31K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.3% | 4,259 | 2,838 | $26K |
| D1208 | Topical application of fluoride, excluding varnish | 6.4% | 1,622 | 1,420 | $23K |
| D0220 | Intraoral - periapical first radiographic image | 5.8% | 2,925 | 2,657 | $21K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.2% | 832 | 736 | $15K |
| D1351 | Sealant - per tooth | 2.5% | 665 | 66 | $9K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.9% | 248 | 129 | $7K |
| D0140 | Limited oral evaluation - problem focused | <1% | 205 | 191 | $3K |
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.