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

Loyola, Jose

Loyola, Jose was paid $16K by Medicaid between Jan 2018 and Sep 2018, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 48% of everything it billed.

33Billing provider infoLOYOLA, JOSE
ISABELA, PR 00662
33aNPI1346385283assigned 02/20/2007
28Total paid$16K
24GClaims1,072
24DCodes billed6
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#423 of 551
Median peer was paid$99K
This provider vs. median0.2×

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
20181,072$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 48% 352 327 $8K
D0272 Bitewings - two radiographic images 19% 231 213 $3K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 19% 312 286 $3K
D1208 Topical application of fluoride, excluding varnish 5.9% 69 58 $931.50
D0150 Comprehensive oral evaluation - new or established patient 5.8% 63 63 $907.20
D0220 Intraoral - periapical first radiographic image 1.5% 45 45 $237.60

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.