Clinic
Dental Pediatrics PSC
Dental Pediatrics PSC was paid $66K by Medicaid between Dec 2023 and Dec 2024, across 10 billing codes. Its largest line is D1999, — 25% of everything it billed.
33Billing provider infoDENTAL PEDIATRICS PSC
MANATI, PR 00674
MANATI, PR 00674
33aNPI1346025665assigned 08/25/2023
33bProvider typeDental Clinic/Center
28Total paid$66K
24GClaims3,660
24DCodes billed10
24AFirst – last monthDec 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Puerto Rico
Rank by total paid#46 of 81
Median peer was paid$94K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2023 | 174 | $3K | |
| 2024incomplete | 3,486 | $63K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1999 | 25% | 1,120 | 866 | $16K | |
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 725 | 544 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 19% | 502 | 367 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 773 | 584 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.8% | 267 | 228 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | 3.1% | 47 | 27 | $2K |
| D0272 | Bitewings - two radiographic images | 3.0% | 120 | 96 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 42 | 27 | $872.20 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 51 | 31 | $438.60 |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | 13 | $273.00 |
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.
From NPPES
Who's on the registration
Authorized officialSOTO GONZALEZ, ALISHA (DENTIST)