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
ISABELA, PR 00662
33aNPI1346385283assigned 02/20/2007
33bProvider typeGeneral Practice Dentistry
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
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 | 1,072 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.