Dental
Centro Denal Pediatrico Smiles 'R' US CSP
Centro Denal Pediatrico Smiles 'R' US CSP was paid $235K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D1999, — 22% of everything it billed.
33Billing provider infoCENTRO DENAL PEDIATRICO SMILES 'R' US CSP
RIO GRANDE, PR 00745
RIO GRANDE, PR 00745
33aNPI1366746901assigned 12/22/2010
33bProvider typePediatric Dentist
28Total paid$235K
24GClaims13,641
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Puerto Rico
Rank by total paid#20 of 52
Median peer was paid$121K
This provider vs. median1.9×
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 | 1,638 | $25K | |
| 2019 | 2,522 | $42K | |
| 2020 | 1,277 | $29K | |
| 2021 | 1,330 | $20K | |
| 2022 | 2,005 | $36K | |
| 2023 | 2,681 | $48K | |
| 2024incomplete | 2,188 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1999 | 22% | 3,318 | 2,510 | $51K | |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 2,365 | 1,923 | $43K |
| D1208 | Topical application of fluoride, excluding varnish | 18% | 3,036 | 2,463 | $42K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 10% | 609 | 299 | $25K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 1,714 | 1,422 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.4% | 750 | 632 | $13K |
| D2140 | 3.2% | 252 | 113 | $8K | |
| D7140 | Extraction, erupted tooth or exposed root | 3.0% | 250 | 104 | $7K |
| D1110 | Prophylaxis - adult | 2.6% | 239 | 195 | $6K |
| D0272 | Bitewings - two radiographic images | 2.1% | 355 | 275 | $5K |
| D1351 | Sealant - per tooth | 2.0% | 300 | 30 | $5K |
| D0330 | Panoramic radiographic image | 1.5% | 136 | 113 | $4K |
3 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.
From NPPES
Who's on the registration
Authorized officialROSARIO, ELIZABETH (PRESIDENT)