Dental
Ortiz, Jose
Ortiz, Jose was paid $12K by Medicaid between Jan 2019 and Sep 2022, across 6 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 29% of everything it billed.
33Billing provider infoORTIZ, JOSE
CIDRA, PR 00739
CIDRA, PR 00739
33aNPI1376680389assigned 01/31/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$12K
24GClaims1,185
24DCodes billed6
24AFirst – last monthJan 2019 – Sep 2022
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#437 of 551
Median peer was paid$99K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2019 | 21 | $316.03 | |
| 2020 | 132 | $2K | |
| 2021 | 675 | $5K | |
| 2022 | 357 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 29% | 161 | 155 | $4K |
| D1999 | 26% | 416 | 334 | $3K | |
| D1110 | Prophylaxis - adult | 21% | 74 | 72 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 20% | 491 | 226 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.6% | 26 | 24 | $311.28 |
| D0272 | Bitewings - two radiographic images | 1.9% | 17 | 16 | $228.27 |
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.