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

Mejia, Rafael

Mejia, Rafael was paid $385K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 38% of everything it billed.

33Billing provider infoMEJIA, RAFAEL
MOROVIS, PR 00687
33aNPI1235279399assigned 02/07/2007
33bProvider typeDentist
28Total paid$385K
24GClaims21,637
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Dentist providers in Puerto Rico

Rank by total paid#52 of 284
Median peer was paid$86K
This provider vs. median4.5×

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$5.0K$10K$15K2018201920202021202220232024
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
20183,383$51K
20194,757$75K
20201,076$20K
20213,137$56K
20223,626$66K
20231,912$38K
2024incomplete3,746$80K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 38% 5,346 4,326 $146K
D0150 Comprehensive oral evaluation - new or established patient 16% 3,096 2,496 $61K
D1999 14% 3,825 3,299 $54K
D0272 Bitewings - two radiographic images 12% 3,326 2,717 $48K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 10% 2,841 2,371 $39K
D1208 Topical application of fluoride, excluding varnish 6.0% 1,666 1,295 $23K
D1120 Dental cleaning, childProphylaxis - child 1.7% 385 313 $6K
D0220 Intraoral - periapical first radiographic image 1.5% 851 762 $6K
D0230 Intraoral - periapical each additional radiographic image <1% 270 196 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 31 13 $727.00

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.