Gallardo, Diana

Gallardo, Diana was paid $19K by Medicaid between May 2019 and Sep 2022, across 6 billing codes. Its largest line is D1999, — 50% of everything it billed.

33Billing provider infoGALLARDO, DIANA
CAGUAS, PR 00725

33aNPI1346460094assigned 04/26/2007

33bProvider typeDentist

28Total paid$19K

24GClaims1,056

24DCodes billed6

24AFirst – last monthMay 2019 – Sep 2022

Compared with peers

Next to other Dentist providers in Puerto Rico

Rank by total paid#210 of 284

Median peer was paid$86K

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (07/20/2022).

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	192	$4K
2020	252	$6K
2021	421	$7K
2022	191	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1999		50%	606	490	$10K
D1110	Prophylaxis - adult	30%	221	197	$6K
D0330	Panoramic radiographic image	6.6%	48	28	$1K
D0272	Bitewings - two radiographic images	6.3%	93	72	$1K
D0150	Comprehensive oral evaluation - new or established patient	6.3%	76	40	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	12	12	$185.04

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.