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

Rodriguez-Werner, Rafael

Rodriguez-Werner, Rafael was paid $790K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 21% of everything it billed.

33Billing provider infoRODRIGUEZ-WERNER, RAFAEL
BAYAMON, PR 00959
33aNPI1194712281assigned 10/04/2005
33bProvider typeDentist
28Total paid$790K
24GClaims41,148
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Dentist providers in Puerto Rico

Rank by total paid#17 of 284
Median peer was paid$86K
This provider vs. median9.2×

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

$0$10K$20K$30K2018201920202021202220232024
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
20183,879$55K
20196,553$103K
20202,328$40K
20214,545$98K
20223,497$71K
20238,020$157K
2024incomplete12,326$265K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 21% 6,023 5,461 $168K
D1999 15% 8,465 7,548 $121K
D0330 Panoramic radiographic image 11% 2,830 2,569 $86K
D2150 Silver amalgam - two surfaces, primary or permanent 9.5% 1,874 1,285 $75K
D0272 Bitewings - two radiographic images 8.9% 4,867 4,396 $70K
D0150 Comprehensive oral evaluation - new or established patient 8.4% 3,271 2,868 $66K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 7.5% 3,992 3,696 $59K
D1208 Topical application of fluoride, excluding varnish 4.6% 2,584 2,279 $36K
D2140 3.3% 816 582 $26K
D2160 2.6% 417 329 $20K
D1120 Dental cleaning, childProphylaxis - child 2.4% 1,050 905 $19K
D0140 Limited oral evaluation - problem focused 1.8% 764 693 $14K
5 more codes
D0230 Intraoral - periapical each additional radiographic image 1.4% 2,216 $11K
D0220 Intraoral - periapical first radiographic image 1.4% 1,568 $11K
D1351 Sealant - per tooth <1% 378 $5K
D2331 <1% 15 $806.71
D2330 <1% 18 $784.38

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.