Dental
Rodriguez, Manuel
Rodriguez, Manuel was paid $361K by Medicaid between Jan 2018 and Feb 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.
33Billing provider infoRODRIGUEZ, MANUEL
SABANA GRANDE, PR 00637
SABANA GRANDE, PR 00637
33aNPI1205800687assigned 02/14/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$361K
24GClaims20,149
24DCodes billed15
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#107 of 551
Median peer was paid$99K
This provider vs. median3.6×
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 | 3,895 | $60K | |
| 2019 | 5,140 | $94K | |
| 2020 | 2,064 | $41K | |
| 2021 | 3,419 | $62K | |
| 2022 | 3,095 | $60K | |
| 2023 | 2,382 | $41K | |
| 2024incomplete | 154 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 29% | 4,262 | 3,835 | $104K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 3,865 | 3,502 | $49K |
| D0330 | Panoramic radiographic image | 13% | 1,730 | 1,541 | $47K |
| D1999 | 11% | 2,789 | 2,587 | $41K | |
| D0272 | Bitewings - two radiographic images | 9.7% | 2,565 | 2,300 | $35K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.5% | 1,482 | 1,295 | $27K |
| D1208 | Topical application of fluoride, excluding varnish | 6.7% | 1,763 | 1,588 | $24K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.9% | 833 | 732 | $14K |
| D7140 | Extraction, erupted tooth or exposed root | 2.1% | 271 | 184 | $8K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.7% | 202 | 118 | $6K |
| D2140 | 1.1% | 158 | 81 | $4K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 161 | 136 | $790.15 |
3 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.