Medina Pellicer, Norberto

Medina Pellicer, Norberto was paid $9K by Medicaid between Feb 2018 and Oct 2018, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 58% of everything it billed.

33Billing provider infoMEDINA PELLICER, NORBERTO
CAROLINA, PR 00979

33aNPI1083830970assigned 04/18/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$9K

24GClaims560

24DCodes billed5

24AFirst – last monthFeb 2018 – Oct 2018

Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#453 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
2018	560	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	58%	233	176	$5K
D0272	Bitewings - two radiographic images	17%	117	89	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	120	74	$1K
D0150	Comprehensive oral evaluation - new or established patient	10.0%	62	52	$882.00
D0220	Intraoral - periapical first radiographic image	1.6%	28	28	$143.30

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.