Dental
SRR Dental PSC
SRR Dental PSC was paid $502K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.
33Billing provider infoSRR DENTAL PSC
ARECIBO, PR 00612
ARECIBO, PR 00612
33aNPI1114294154assigned 11/18/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$502K
24GClaims27,263
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#66 of 551
Median peer was paid$99K
This provider vs. median5.1×
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 | 4,641 | $53K | |
| 2019 | 4,061 | $69K | |
| 2020 | 2,640 | $60K | |
| 2021 | 3,728 | $72K | |
| 2022 | 3,958 | $87K | |
| 2023 | 3,132 | $57K | |
| 2024incomplete | 5,103 | $105K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 31% | 5,968 | 5,113 | $155K |
| D1999 | 17% | 5,790 | 4,703 | $87K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 5,097 | 4,378 | $68K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 9.6% | 1,391 | 936 | $48K |
| D0272 | Bitewings - two radiographic images | 9.5% | 3,406 | 2,943 | $48K |
| D0330 | Panoramic radiographic image | 7.8% | 1,315 | 1,157 | $39K |
| D2160 | 2.8% | 414 | 327 | $14K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 603 | 527 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 2.2% | 852 | 764 | $11K |
| D2335 | 1.5% | 117 | 69 | $8K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,011 | 868 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,184 | 778 | $4K |
1 more codes
| D2140 | <1% | 115 | $3K |
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 officialRAMOS, SUJEIL (PRESIDENT)