Dental
Grupo De Odontologia Cosmetica Y Ortodoncia
Grupo De Odontologia Cosmetica Y Ortodoncia was paid $548K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.
33Billing provider infoGRUPO DE ODONTOLOGIA COSMETICA Y ORTODONCIA
GUAYANILLA, PR 00656
GUAYANILLA, PR 00656
33aNPI1144300203assigned 10/16/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$548K
24GClaims30,031
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#56 of 551
Median peer was paid$99K
This provider vs. median5.5×
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
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 | 4,811 | $83K | |
| 2019 | 6,201 | $113K | |
| 2020 | 2,373 | $51K | |
| 2021 | 4,302 | $78K | |
| 2022 | 4,313 | $79K | |
| 2023 | 3,530 | $61K | |
| 2024incomplete | 4,501 | $84K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 24% | 4,989 | 4,306 | $133K |
| D1999 | 18% | 6,477 | 5,617 | $98K | |
| D0330 | Panoramic radiographic image | 13% | 2,441 | 2,096 | $70K |
| D0272 | Bitewings - two radiographic images | 9.7% | 3,747 | 3,249 | $53K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.2% | 3,370 | 2,886 | $45K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.5% | 2,164 | 1,858 | $41K |
| D0140 | Limited oral evaluation - problem focused | 4.0% | 1,223 | 1,144 | $22K |
| D1208 | Topical application of fluoride, excluding varnish | 3.6% | 1,425 | 1,140 | $20K |
| D2140 | 3.3% | 710 | 496 | $18K | |
| D0230 | Intraoral - periapical each additional radiographic image | 2.4% | 1,466 | 957 | $13K |
| D7140 | Extraction, erupted tooth or exposed root | 1.6% | 353 | 264 | $9K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.5% | 284 | 244 | $8K |
5 more codes
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 officialDIAZ, RAFAEL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Orthodontics and Cosmetic Dentistry Houston Group PA | Spring, TX | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.