Dental
Andujar-Matos, Ilsa
Andujar-Matos, Ilsa was paid $354K by Medicaid between May 2018 and May 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 17% of everything it billed.
33Billing provider infoANDUJAR-MATOS, ILSA
CATANO, PR 00962
CATANO, PR 00962
33aNPI1356317549assigned 02/27/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$354K
24GClaims28,243
24DCodes billed17
24AFirst – last monthMay 2018 – May 2024
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#112 of 551
Median peer was paid$99K
This provider vs. median3.6×
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 | 6,694 | $65K | |
| 2019 | 8,873 | $103K | |
| 2020 | 5,443 | $79K | |
| 2021 | 7,207 | $107K | |
| 2024incomplete | 26 | $362.75 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 17% | 2,441 | 2,250 | $60K |
| D0230 | Intraoral - periapical each additional radiographic image | 14% | 9,091 | 2,333 | $51K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 2,278 | 2,038 | $40K |
| D1351 | Sealant - per tooth | 11% | 2,937 | 424 | $39K |
| D1999 | 8.9% | 1,893 | 1,634 | $31K | |
| D0272 | Bitewings - two radiographic images | 8.5% | 2,275 | 2,071 | $30K |
| D2140 | 5.3% | 680 | 380 | $19K | |
| D1208 | Topical application of fluoride, excluding varnish | 5.1% | 1,386 | 1,259 | $18K |
| D0220 | Intraoral - periapical first radiographic image | 4.7% | 2,468 | 2,253 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.7% | 1,201 | 1,157 | $17K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.4% | 951 | 862 | $16K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.1% | 259 | 164 | $8K |
5 more codes
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.