Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinica De Cirugia Oral Y Maxilofacial De Caparra CSP

Clinica De Cirugia Oral Y Maxilofacial De Caparra CSP was paid $1.14M by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 22% of everything it billed.

33Billing provider infoCLINICA DE CIRUGIA ORAL Y MAXILOFACIAL DE CAPARRA CSP
SAN JUAN, PR 00920
33aNPI1093954125assigned 02/12/2009
28Total paid$1.14M
24GClaims17,642
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Oral and Maxillofacial Surgery Clinic/Center providers in Puerto Rico

Rank by total paid#1 of 6
Median peer was paid$324K
This provider vs. median3.5×

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$20K$40K$60K2018201920202021202220232024
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
2018484$20K
20191,477$60K
20202,756$194K
20212,992$209K
20222,829$204K
20232,470$147K
2024incomplete4,634$302K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7240 Removal of impacted tooth - completely bony 22% 1,361 451 $253K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 21% 1,982 1,625 $234K
D9222 18% 1,894 1,580 $209K
D0160 14% 4,505 3,743 $162K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 13% 1,784 874 $151K
D1999 5.4% 4,128 3,079 $62K
D0330 Panoramic radiographic image 5.1% 1,870 1,523 $58K
D7250 <1% 118 51 $8K

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.

From NPPES

Who's on the registration

Authorized officialJIMENEZ-BOSCH, RICARDO (PRESIDENT)