Dental
CR Diaz Bonilla Dentista Pediatrica PSC
CR Diaz Bonilla Dentista Pediatrica PSC was paid $88K by Medicaid between Jan 2018 and May 2019, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
33Billing provider infoCR DIAZ BONILLA DENTISTA PEDIATRICA PSC
AIBONITO, PR 00705
AIBONITO, PR 00705
33aNPI1255707568assigned 08/20/2015
33bProvider typePediatric Dentist
28Total paid$88K
24GClaims6,687
24DCodes billed12
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other Pediatric Dentist providers in Puerto Rico
Rank by total paid#32 of 52
Median peer was paid$121K
This provider vs. median0.7×
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 | 5,555 | $71K | |
| 2019 | 1,132 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 1,158 | 1,010 | $18K |
| D1208 | Topical application of fluoride, excluding varnish | 20% | 1,337 | 1,165 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 649 | 607 | $9K |
| D7140 | Extraction, erupted tooth or exposed root | 9.5% | 373 | 219 | $8K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 8.7% | 310 | 181 | $8K |
| D1351 | Sealant - per tooth | 7.4% | 498 | 115 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.1% | 553 | 453 | $5K |
| D0272 | Bitewings - two radiographic images | 5.8% | 391 | 353 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 508 | 433 | $3K |
| D1110 | Prophylaxis - adult | 2.8% | 123 | 107 | $2K |
| D2140 | 2.7% | 108 | 74 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | 2.7% | 679 | 397 | $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 officialDIAZ, CAREM (PRINCIPAL)