Clinic
Isabela Dental Clinic
Isabela Dental Clinic was paid $23K by Medicaid between Apr 2019 and Dec 2024, across 8 billing codes. Its largest line is D1999, — 37% of everything it billed.
33Billing provider infoISABELA DENTAL CLINIC
ISABELA, PR 00662
ISABELA, PR 00662
33aNPI1144413535assigned 08/20/2007
33bProvider typeDental Clinic/Center
28Total paid$23K
24GClaims1,383
24DCodes billed8
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Puerto Rico
Rank by total paid#60 of 81
Median peer was paid$94K
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 | |
|---|---|---|---|
| 2019 | 292 | $5K | |
| 2020 | 282 | $5K | |
| 2021 | 440 | $6K | |
| 2022 | 297 | $5K | |
| 2024incomplete | 72 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1999 | 37% | 534 | 514 | $8K | |
| D1110 | Prophylaxis - adult | 30% | 263 | 212 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 344 | 287 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.3% | 116 | 42 | $964.96 |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 29 | 12 | $459.54 |
| D1208 | Topical application of fluoride, excluding varnish | 1.7% | 28 | 13 | $380.64 |
| D1120 | Dental cleaning, childProphylaxis - child | 1.6% | 27 | 12 | $362.40 |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 42 | 42 | $347.47 |
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 officialRIOS ROSA, JULIO (DENTIST)