Dental
Idental Center, Professional Dentistry, CSP
Idental Center, Professional Dentistry, CSP was paid $599K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.
33Billing provider infoIDENTAL CENTER, PROFESSIONAL DENTISTRY, CSP
YABUCOA, PR 00767
YABUCOA, PR 00767
33aNPI1225161854assigned 03/13/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$599K
24GClaims30,648
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#44 of 551
Median peer was paid$99K
This provider vs. median6.1×
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 | 3,148 | $53K | |
| 2019 | 5,637 | $96K | |
| 2020 | 2,123 | $44K | |
| 2021 | 2,816 | $53K | |
| 2022 | 5,448 | $110K | |
| 2023 | 5,386 | $114K | |
| 2024incomplete | 6,090 | $130K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 29% | 6,004 | 4,914 | $173K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 5,725 | 4,661 | $82K |
| D0272 | Bitewings - two radiographic images | 11% | 4,466 | 3,707 | $65K |
| D0330 | Panoramic radiographic image | 10% | 2,098 | 1,808 | $62K |
| D1999 | 10% | 4,009 | 3,752 | $62K | |
| D1208 | Topical application of fluoride, excluding varnish | 8.2% | 3,454 | 2,842 | $49K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 1,684 | 1,471 | $33K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.7% | 1,518 | 1,273 | $28K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.1% | 618 | 400 | $24K |
| D1351 | Sealant - per tooth | 1.3% | 563 | 82 | $8K |
| D2160 | <1% | 111 | 85 | $5K | |
| D2140 | <1% | 132 | 84 | $4K |
1 more codes
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 266 | $2K |
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 officialGOMEZ, MAYRA (PRESIDENT)