Dental
Camacho Roldos, Mayra
Camacho Roldos, Mayra was paid $392K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 28% of everything it billed.
33Billing provider infoCAMACHO ROLDOS, MAYRA
CABO ROJO, PR 00623
CABO ROJO, PR 00623
33aNPI1255441754assigned 08/30/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$392K
24GClaims21,476
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#98 of 551
Median peer was paid$99K
This provider vs. median4.0×
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 | 4,682 | $70K | |
| 2019 | 32 | $912.94 | |
| 2020 | 939 | $20K | |
| 2021 | 2,681 | $52K | |
| 2022 | 3,862 | $78K | |
| 2023 | 4,302 | $75K | |
| 2024incomplete | 4,978 | $97K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 28% | 4,073 | 3,652 | $111K |
| D1999 | 16% | 4,576 | 3,952 | $63K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 3,347 | 2,978 | $46K |
| D0330 | Panoramic radiographic image | 12% | 1,557 | 1,419 | $45K |
| D0272 | Bitewings - two radiographic images | 11% | 2,949 | 2,670 | $42K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.7% | 1,408 | 1,309 | $30K |
| D1208 | Topical application of fluoride, excluding varnish | 5.1% | 1,449 | 1,329 | $20K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.1% | 678 | 627 | $12K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.8% | 370 | 228 | $11K |
| D2140 | <1% | 110 | 68 | $4K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 98 | 47 | $2K |
| D2160 | <1% | 65 | 55 | $2K |
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.