Dental
Burgos Lopez, Isamar
Burgos Lopez, Isamar was paid $269K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.
33Billing provider infoBURGOS LOPEZ, ISAMAR
GUAYAMA, PR 00784
GUAYAMA, PR 00784
33aNPI1235497991assigned 05/01/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$269K
24GClaims14,316
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#142 of 551
Median peer was paid$99K
This provider vs. median2.7×
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 | 5,339 | $94K | |
| 2019 | 1,852 | $36K | |
| 2020 | 1,188 | $24K | |
| 2021 | 2,214 | $41K | |
| 2022 | 1,646 | $33K | |
| 2023 | 880 | $16K | |
| 2024incomplete | 1,197 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 24% | 2,452 | 2,147 | $65K |
| D0330 | Panoramic radiographic image | 15% | 1,515 | 1,338 | $40K |
| D1999 | 13% | 2,390 | 2,144 | $34K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 1,806 | 1,567 | $33K |
| D0272 | Bitewings - two radiographic images | 10% | 2,110 | 1,865 | $28K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.7% | 1,383 | 1,210 | $18K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.9% | 582 | 274 | $16K |
| D1208 | Topical application of fluoride, excluding varnish | 5.3% | 1,041 | 889 | $14K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.1% | 511 | 443 | $8K |
| D2140 | 2.3% | 284 | 164 | $6K | |
| D7140 | Extraction, erupted tooth or exposed root | 1.6% | 182 | 103 | $4K |
| D2160 | <1% | 60 | 40 | $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.