Dental
Zambrana, Fernando
Zambrana, Fernando was paid $322K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.
33Billing provider infoZAMBRANA, FERNANDO
SAN JUAN, PR 00918
SAN JUAN, PR 00918
33aNPI1407932809assigned 10/27/2006
33bProvider typeDentist
28Total paid$322K
24GClaims16,916
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Puerto Rico
Rank by total paid#61 of 284
Median peer was paid$86K
This provider vs. median3.8×
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 | 1,540 | $21K | |
| 2019 | 1,861 | $26K | |
| 2020 | 480 | $10K | |
| 2021 | 1,343 | $26K | |
| 2022 | 2,194 | $45K | |
| 2023 | 4,034 | $81K | |
| 2024incomplete | 5,464 | $114K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 32% | 3,500 | 2,819 | $103K |
| D1999 | 19% | 4,257 | 3,310 | $61K | |
| D0272 | Bitewings - two radiographic images | 10% | 2,231 | 1,824 | $33K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 1,596 | 1,368 | $33K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.7% | 2,106 | 1,608 | $31K |
| D0330 | Panoramic radiographic image | 9.1% | 923 | 771 | $29K |
| D1208 | Topical application of fluoride, excluding varnish | 3.1% | 708 | 553 | $10K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.2% | 154 | 97 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.0% | 610 | 339 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 625 | 508 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 145 | 122 | $3K |
| D2140 | <1% | 61 | 39 | $2K |
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.