Martinez, Carlos

Martinez, Carlos was paid $342K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.

33Billing provider infoMARTINEZ, CARLOS
CEIBA, PR 00735

33aNPI1396890935assigned 01/24/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$342K

24GClaims18,419

24DCodes billed17

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#115 of 551

Median peer was paid$99K

This provider vs. median3.5×

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	3,961	$58K
2019	4,175	$79K
2020	1,968	$42K
2021	2,134	$42K
2022	3,177	$60K
2023	2,249	$46K
2024incomplete	755	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	25%	3,275	2,895	$86K
D1999		13%	2,901	2,608	$45K
D0150	Comprehensive oral evaluation - new or established patient	12%	2,287	1,952	$43K
D0330	Panoramic radiographic image	12%	1,437	1,252	$42K
D0272	Bitewings - two radiographic images	12%	2,766	2,453	$40K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	8.2%	2,088	1,883	$28K
D1208	Topical application of fluoride, excluding varnish	6.7%	1,648	1,411	$23K
D1120	Dental cleaning, childProphylaxis - child	4.4%	872	728	$15K
D2150	Silver amalgam - two surfaces, primary or permanent	1.4%	146	88	$5K
D2140		1.1%	121	76	$4K
D0140	Limited oral evaluation - problem focused	1.1%	276	229	$4K
D7140	Extraction, erupted tooth or exposed root	<1%	126	78	$3K

5 more codes

D0220	Intraoral - periapical first radiographic image	<1%	330	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	73	$2K
D2160		<1%	32	$995.14
D9110		<1%	16	$332.10
D0230	Intraoral - periapical each additional radiographic image	<1%	25	$126.10

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.