Dental
Boulevard Dental Center
Boulevard Dental Center was paid $193K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.
33Billing provider infoBOULEVARD DENTAL CENTER
TOA BAJA, PR 00949
TOA BAJA, PR 00949
33aNPI1396015335assigned 01/09/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$193K
24GClaims9,640
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#190 of 551
Median peer was paid$99K
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 | 636 | $9K | |
| 2020 | 336 | $9K | |
| 2021 | 1,369 | $30K | |
| 2022 | 1,363 | $27K | |
| 2023 | 1,914 | $35K | |
| 2024incomplete | 4,022 | $83K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 27% | 1,942 | 1,542 | $52K |
| D1999 | 24% | 3,156 | 2,364 | $46K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 1,246 | 998 | $28K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 452 | 329 | $22K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.1% | 1,105 | 831 | $16K |
| D1208 | Topical application of fluoride, excluding varnish | 5.1% | 709 | 534 | $10K |
| D0272 | Bitewings - two radiographic images | 3.5% | 467 | 347 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.4% | 362 | 259 | $7K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.3% | 91 | 24 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 110 | 86 | $919.56 |
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 officialMORALES, LISSETTE (DENTIST)