Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Cidra › NPI 1376680389
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
33aNPI1376680389assigned 01/31/2007
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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
201921$316.03
2020132$2K
2021675$5K
2022357$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.