Dental
Diaz Vicente, Jaime
Diaz Vicente, Jaime was paid $75K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.
33Billing provider infoDIAZ VICENTE, JAIME
CAYEY, PR 00736
CAYEY, PR 00736
33aNPI1265541957assigned 08/29/2006
33bProvider typeDentist
28Total paid$75K
24GClaims4,248
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in Puerto Rico
Rank by total paid#151 of 284
Median peer was paid$86K
This provider vs. median0.9×
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 | 683 | $10K | |
| 2019 | 524 | $9K | |
| 2020 | 393 | $7K | |
| 2021 | 294 | $3K | |
| 2022 | 687 | $14K | |
| 2023 | 558 | $10K | |
| 2024incomplete | 1,109 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 40% | 1,061 | 910 | $30K |
| D1999 | 25% | 1,352 | 1,123 | $19K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 739 | 626 | $9K |
| D0272 | Bitewings - two radiographic images | 12% | 657 | 561 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.5% | 183 | 174 | $3K |
| D0330 | Panoramic radiographic image | 4.3% | 102 | 93 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 128 | 116 | $693.09 |
| D0140 | Limited oral evaluation - problem focused | <1% | 26 | 24 | $363.27 |
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.