Calderon, Dagnes

Calderon, Dagnes was paid $295K by Medicaid between Feb 2018 and Dec 2024, across 17 billing codes. Its largest line is D1351, Sealant - per tooth — 16% of everything it billed.

33Billing provider infoCALDERON, DAGNES
SAN JUAN, PR 00926

33aNPI1104876515assigned 05/10/2006

33bProvider typePediatric Dentist

28Total paid$295K

24GClaims16,415

24DCodes billed17

24AFirst – last monthFeb 2018 – Dec 2024

Compared with peers

Next to other Pediatric Dentist providers in Puerto Rico

Rank by total paid#18 of 52

Median peer was paid$121K

This provider vs. median2.4×

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	1,044	$15K
2019	4,015	$71K
2020	731	$14K
2021	781	$13K
2022	6,551	$125K
2023	1,749	$30K
2024incomplete	1,544	$27K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1351	Sealant - per tooth	16%	3,220	560	$49K
D1120	Dental cleaning, childProphylaxis - child	16%	2,430	2,082	$46K
D1999		15%	2,842	2,583	$43K
D1208	Topical application of fluoride, excluding varnish	14%	2,937	2,541	$42K
D7140	Extraction, erupted tooth or exposed root	12%	904	495	$36K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	7.5%	1,500	1,322	$22K
D0150	Comprehensive oral evaluation - new or established patient	6.4%	963	794	$19K
D2150	Silver amalgam - two surfaces, primary or permanent	4.0%	262	161	$12K
D0272	Bitewings - two radiographic images	3.5%	705	619	$10K
D0210	Intraoral - complete series of radiographic images	2.7%	182	110	$8K
D1110	Prophylaxis - adult	1.7%	182	171	$5K
D0220	Intraoral - periapical first radiographic image	<1%	174	156	$1K

5 more codes

D2140		<1%	20	$788.40
D0145	Oral evaluation for a patient under three years of age	<1%	30	$513.59
D0330	Panoramic radiographic image	<1%	13	$445.32
D0140	Limited oral evaluation - problem focused	<1%	17	$350.04
D0230	Intraoral - periapical each additional radiographic image	<1%	34	$275.92

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.