Valle Tolima Dental Care LLC

Valle Tolima Dental Care LLC was paid $18K by Medicaid between Jan 2018 and Oct 2018, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 37% of everything it billed.

33Billing provider infoVALLE TOLIMA DENTAL CARE LLC
CAGUAS, PR 00725

33aNPI1285182592assigned 09/15/2016

33bProvider typeDental Clinic/Center

28Total paid$18K

24GClaims1,110

24DCodes billed8

24AFirst – last monthJan 2018 – Oct 2018

Compared with peers

Next to other Dental Clinic/Center providers in Puerto Rico

Rank by total paid#62 of 81

Median peer was paid$94K

This provider vs. median0.2×

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	1,110	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	37%	294	292	$7K
D0272	Bitewings - two radiographic images	23%	300	298	$4K
D0150	Comprehensive oral evaluation - new or established patient	14%	183	182	$3K
D0330	Panoramic radiographic image	11%	78	77	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	8.0%	147	146	$1K
D1208	Topical application of fluoride, excluding varnish	5.1%	67	67	$933.98
D0140	Limited oral evaluation - problem focused	<1%	12	12	$150.88
D0220	Intraoral - periapical first radiographic image	<1%	29	28	$144.56

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 officialVELEZ, JOSE (OWNER)