Disla Pena, Jose

Disla Pena, Jose was paid $17K by Medicaid between Apr 2019 and Oct 2022, across 5 billing codes. Its largest line is D1999, — 49% of everything it billed.

33Billing provider infoDISLA PENA, JOSE
SANTURCE, PR 00911

33aNPI1215006648assigned 11/07/2006

33bProvider typeOral and Maxillofacial Surgery (Dentist)

28Total paid$17K

24GClaims911

24DCodes billed5

24AFirst – last monthApr 2019 – Oct 2022

Compared with peers

Next to other Oral and Maxillofacial Surgery (Dentist) providers in Puerto Rico

Rank by total paid#25 of 38

Median peer was paid$66K

This provider vs. median0.2×

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

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
2019	108	$2K
2020	337	$7K
2021	321	$5K
2022	145	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1999		49%	528	487	$8K
D0330	Panoramic radiographic image	24%	163	141	$4K
D0150	Comprehensive oral evaluation - new or established patient	17%	130	125	$3K
D1110	Prophylaxis - adult	5.7%	34	34	$943.55
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	4.3%	56	56	$704.04

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.