De Jesus, Evelyn

De Jesus, Evelyn was paid $20K by Medicaid between Jan 2018 and Sep 2022, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 72% of everything it billed.

33Billing provider infoDE JESUS, EVELYN
RIO GRANDE, PR 00745

33aNPI1083710511assigned 09/15/2006

33bProvider typeDentist

28Total paid$20K

24GClaims1,196

24DCodes billed8

24AFirst – last monthJan 2018 – Sep 2022

Compared with peers

Next to other Dentist providers in Puerto Rico

Rank by total paid#209 of 284

Median peer was paid$86K

This provider vs. median0.2×

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	717	$10K
2019	44	$1K
2020	64	$799.92
2021	266	$4K
2022	105	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	72%	500	423	$14K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	16%	283	241	$3K
D0272	Bitewings - two radiographic images	6.6%	105	81	$1K
D0230	Intraoral - periapical each additional radiographic image	2.1%	84	28	$417.10
D0220	Intraoral - periapical first radiographic image	2.0%	65	62	$384.72
D0150	Comprehensive oral evaluation - new or established patient	<1%	17	15	$192.60
D0140	Limited oral evaluation - problem focused	<1%	13	13	$171.00
D1999		0%	129	113	$0.00

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.