Dental
Duarte Dental Care,llc
Duarte Dental Care,llc was paid $210K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.
33Billing provider infoDUARTE DENTAL CARE,LLC
SAN JUAN, PR 00917
SAN JUAN, PR 00917
33aNPI1336575349assigned 09/23/2013
33bProvider typeDentist
28Total paid$210K
24GClaims10,955
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Puerto Rico
Rank by total paid#86 of 284
Median peer was paid$86K
This provider vs. median2.5×
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 | 1,554 | $25K | |
| 2019 | 2,825 | $49K | |
| 2020 | 820 | $17K | |
| 2021 | 1,164 | $23K | |
| 2022 | 1,075 | $23K | |
| 2023 | 923 | $20K | |
| 2024incomplete | 2,594 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 34% | 2,608 | 2,134 | $72K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 2,352 | 1,943 | $32K |
| D1999 | 13% | 1,755 | 1,440 | $27K | |
| D0330 | Panoramic radiographic image | 12% | 913 | 706 | $26K |
| D0272 | Bitewings - two radiographic images | 8.1% | 1,154 | 898 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.9% | 681 | 528 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 5.6% | 852 | 658 | $12K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.9% | 368 | 305 | $6K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.1% | 70 | 46 | $2K |
| D0140 | Limited oral evaluation - problem focused | 1.0% | 140 | 131 | $2K |
| D2140 | <1% | 14 | 13 | $554.38 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 48 | 48 | $357.36 |
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 officialERIKA, DIAZ (DOCTOR)