Dental
Gavilanes - Mendez, Rafael
Gavilanes - Mendez, Rafael was paid $1.08M by Medicaid between Nov 2018 and Dec 2024, across 12 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 30% of everything it billed.
33Billing provider infoGAVILANES - MENDEZ, RAFAEL
SAN ANTONIO, PR 00690
SAN ANTONIO, PR 00690
33aNPI1154726131assigned 11/03/2014
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$1.08M
24GClaims18,449
24DCodes billed12
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Puerto Rico
Rank by total paid#8 of 38
Median peer was paid$66K
This provider vs. median16×
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 | 573 | $41K | |
| 2019 | 4,243 | $283K | |
| 2020 | 3,667 | $218K | |
| 2021 | 5,634 | $309K | |
| 2022 | 3,686 | $201K | |
| 2023 | 133 | $4K | |
| 2024incomplete | 513 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 30% | 2,019 | 676 | $324K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 24% | 3,599 | 1,849 | $261K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 14% | 2,350 | 1,145 | $149K |
| D0160 | 11% | 3,490 | 3,133 | $116K | |
| D9222 | 10% | 1,297 | 1,138 | $110K | |
| D1999 | 4.3% | 3,057 | 2,752 | $46K | |
| D0330 | Panoramic radiographic image | 3.7% | 1,664 | 1,510 | $40K |
| D7230 | 2.0% | 153 | 92 | $22K | |
| D7250 | 1.1% | 187 | 92 | $12K | |
| D9995 | <1% | 102 | 95 | $1K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 103 | 96 | $1K |
| D9219 | <1% | 428 | 414 | $1K |
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.