Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Toro, Jorge

Toro, Jorge was paid $56K by Medicaid between Jan 2018 and Mar 2023, across 8 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 34% of everything it billed.

33Billing provider infoTORO, JORGE
CABO ROJO, PR 00623
33aNPI1285629865assigned 09/20/2005
28Total paid$56K
24GClaims2,844
24DCodes billed8
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#334 of 551
Median peer was paid$99K
This provider vs. median0.6×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2018663$9K
2019487$7K
2020344$7K
2021719$17K
2022589$15K
202342$725.16
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 34% 997 913 $19K
D7140 Extraction, erupted tooth or exposed root 27% 392 267 $15K
D1110 Prophylaxis - adult 23% 525 457 $13K
D0220 Intraoral - periapical first radiographic image 5.9% 486 457 $3K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 5.9% 282 252 $3K
D1208 Topical application of fluoride, excluding varnish 2.6% 121 79 $1K
D1999 1.0% 22 21 $560.00
D1120 Dental cleaning, childProphylaxis - child <1% 19 16 $113.00

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.