Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Caguas › NPI 1316324239
Clinic

Dra. Sandra Valcarcel Rivera PSC

Dra. Sandra Valcarcel Rivera PSC was paid $273K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 33% of everything it billed.

33Billing provider infoDRA. SANDRA VALCARCEL RIVERA PSC
CAGUAS, PR 00725
33aNPI1316324239assigned 04/29/2015
33bProvider typeDental Clinic/Center
28Total paid$273K
24GClaims15,637
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Dental Clinic/Center providers in Puerto Rico

Rank by total paid#21 of 81
Median peer was paid$94K
This provider vs. median2.9×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
20182,402$41K
20193,422$58K
2020594$11K
2021543$10K
20222,084$35K
20232,794$48K
2024incomplete3,798$70K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 33% 3,322 2,684 $91K
D1999 13% 2,523 2,005 $37K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 13% 2,643 2,107 $35K
D0272 Bitewings - two radiographic images 12% 2,209 1,787 $32K
D0230 Intraoral - periapical each additional radiographic image 8.3% 1,327 745 $23K
D0330 Panoramic radiographic image 5.3% 550 466 $14K
D0150 Comprehensive oral evaluation - new or established patient 5.0% 817 705 $14K
D1208 Topical application of fluoride, excluding varnish 4.7% 926 746 $13K
D0220 Intraoral - periapical first radiographic image 2.8% 923 747 $8K
D1120 Dental cleaning, childProphylaxis - child 1.9% 303 246 $5K
D2150 Silver amalgam - two surfaces, primary or permanent <1% 61 49 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 16 12 $404.64
1 more codes
D2140 <1% 17 $341.76

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 officialVALCARCEL, SANDRA (OWNER)