Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Valles Nevarez, Edgardo

Valles Nevarez, Edgardo was paid $594K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.

33Billing provider infoVALLES NEVAREZ, EDGARDO
COROZAL, PR 00783
33aNPI1124144720assigned 03/22/2007
28Total paid$594K
24GClaims29,381
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#45 of 551
Median peer was paid$99K
This provider vs. median6.0×

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$10K$20K2018201920202021202220232024
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
20184,031$67K
20195,544$118K
20202,389$54K
20214,908$104K
20223,946$80K
20234,753$89K
2024incomplete3,810$82K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 22% 5,083 4,900 $133K
D0330 Panoramic radiographic image 14% 3,017 2,909 $86K
D1999 13% 5,207 4,857 $76K
D0272 Bitewings - two radiographic images 10% 4,303 4,140 $61K
D2150 Silver amalgam - two surfaces, primary or permanent 9.9% 1,576 1,164 $59K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 9.6% 4,146 3,977 $57K
D0150 Comprehensive oral evaluation - new or established patient 6.7% 2,073 1,991 $40K
D1208 Topical application of fluoride, excluding varnish 4.6% 1,963 1,879 $27K
D7140 Extraction, erupted tooth or exposed root 4.3% 707 497 $25K
D2140 2.5% 520 427 $15K
D1120 Dental cleaning, childProphylaxis - child 1.7% 611 580 $10K
D2160 <1% 47 39 $2K
5 more codes
D2330 <1% 50 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 23 $875.80
D2331 <1% 16 $868.16
D0140 Limited oral evaluation - problem focused <1% 25 $378.70
D3221 <1% 14 $289.80

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.