Dental
Martinez, Jan
Martinez, Jan was paid $12K by Medicaid between Dec 2023 and Dec 2024, across 5 billing codes. Its largest line is D1999, — 33% of everything it billed.
33Billing provider infoMARTINEZ, JAN
CEIBA, PR 00735
CEIBA, PR 00735
33aNPI1144928433assigned 02/16/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$12K
24GClaims631
24DCodes billed5
24AFirst – last monthDec 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#434 of 551
Median peer was paid$99K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2023 | 45 | $979.03 | |
| 2024incomplete | 586 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1999 | 33% | 282 | 168 | $4K | |
| D1110 | Prophylaxis - adult | 28% | 120 | 81 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 24% | 124 | 70 | $3K |
| D0272 | Bitewings - two radiographic images | 9.0% | 79 | 47 | $1K |
| D0330 | Panoramic radiographic image | 5.9% | 26 | 13 | $740.64 |
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.