Clinic
RG Dental PSC
RG Dental PSC was paid $163K by Medicaid between Jan 2018 and Oct 2022, across 18 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.
33Billing provider infoRG DENTAL PSC
RIO GRANDE, PR 00745
RIO GRANDE, PR 00745
33aNPI1205207487assigned 10/13/2015
33bProvider typeDental Clinic/Center
28Total paid$163K
24GClaims8,608
24DCodes billed18
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other Dental Clinic/Center providers in Puerto Rico
Rank by total paid#34 of 81
Median peer was paid$94K
This provider vs. median1.7×
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 | 5,289 | $91K | |
| 2019 | 545 | $9K | |
| 2020 | 1,522 | $35K | |
| 2021 | 967 | $21K | |
| 2022 | 285 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 26% | 1,574 | 1,381 | $42K |
| D0330 | Panoramic radiographic image | 13% | 807 | 693 | $22K |
| D0272 | Bitewings - two radiographic images | 9.4% | 1,213 | 1,066 | $15K |
| D1999 | 7.4% | 783 | 741 | $12K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 7.2% | 457 | 233 | $12K |
| D2140 | 6.9% | 502 | 224 | $11K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.7% | 626 | 553 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.8% | 846 | 722 | $9K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.5% | 77 | 47 | $6K |
| D7250 | 2.3% | 104 | 63 | $4K | |
| D1208 | Topical application of fluoride, excluding varnish | 2.3% | 271 | 226 | $4K |
| D2330 | 2.2% | 160 | 62 | $4K |
6 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 officialSOTO, DAVID (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pinnacle Sjir | Manteca, CA | $398K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.