Dental
Del Valee Sepulveda, Edwin
Del Valee Sepulveda, Edwin was paid $474K by Medicaid between Apr 2019 and Dec 2024, across 6 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 52% of everything it billed.
33Billing provider infoDEL VALEE SEPULVEDA, EDWIN
PONCE, PR 00717
PONCE, PR 00717
33aNPI1326010448assigned 02/02/2006
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$474K
24GClaims5,879
24DCodes billed6
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Puerto Rico
Rank by total paid#11 of 38
Median peer was paid$66K
This provider vs. median7.1×
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 | |
|---|---|---|---|
| 2019 | 1,151 | $106K | |
| 2020 | 464 | $38K | |
| 2021 | 269 | $8K | |
| 2022 | 1,123 | $77K | |
| 2023 | 1,251 | $114K | |
| 2024incomplete | 1,621 | $132K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 52% | 1,395 | 373 | $247K |
| D9222 | 13% | 652 | 472 | $62K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 13% | 635 | 453 | $59K |
| D0160 | 11% | 1,409 | 1,157 | $52K | |
| D7230 | 6.1% | 168 | 80 | $29K | |
| D1999 | 5.2% | 1,620 | 1,267 | $25K |
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.