Maldonado, Jose

Maldonado, Jose was paid $19K by Medicaid between Feb 2021 and Sep 2022, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 45% of everything it billed.

33Billing provider infoMALDONADO, JOSE
VEGA ALTA, PR 00692

33aNPI1104897479assigned 01/27/2006

33bProvider typeDentist

28Total paid$19K

24GClaims619

24DCodes billed9

24AFirst – last monthFeb 2021 – Sep 2022

Compared with peers

Next to other Dentist providers in Puerto Rico

Rank by total paid#214 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
2021	285	$6K
2022	334	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	45%	210	191	$8K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	11%	26	14	$2K
D0330	Panoramic radiographic image	11%	53	52	$2K
D7140	Extraction, erupted tooth or exposed root	10%	42	15	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	10%	46	13	$2K
D0150	Comprehensive oral evaluation - new or established patient	9.6%	79	66	$2K
D0272	Bitewings - two radiographic images	2.3%	28	28	$434.84
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	1.3%	17	17	$242.76
D1999		0%	118	95	$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.