Clinic
Dental Gerona LLC
Dental Gerona LLC was paid $90K by Medicaid between Mar 2023 and Dec 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 47% of everything it billed.
33Billing provider infoDENTAL GERONA LLC
SABANA GRANDE, PR 00637
SABANA GRANDE, PR 00637
33aNPI1477299188assigned 05/06/2022
33bProvider typeDental Clinic/Center
28Total paid$90K
24GClaims4,175
24DCodes billed9
24AFirst – last monthMar 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Puerto Rico
Rank by total paid#42 of 81
Median peer was paid$94K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2023 | 42 | $530.26 | |
| 2024incomplete | 4,133 | $89K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 47% | 1,371 | 743 | $42K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 1,025 | 560 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 489 | 263 | $12K |
| D0272 | Bitewings - two radiographic images | 13% | 775 | 414 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 6.3% | 385 | 204 | $6K |
| D0330 | Panoramic radiographic image | 1.8% | 51 | 26 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 28 | 14 | $483.00 |
| D1999 | <1% | 28 | 27 | $349.22 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 23 | 12 | $172.00 |
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 officialRODRIGUEZ, MANUEL (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| CDR Medical Center L.L.C. | Morovis, PR | $352K |
| Puzzle Therapy Services, INC. | Cape Coral, FL | $287K |
| Rodriguez Baisi Psychiatric Services LLC | Anchorage, AK | $240K |
| Roma Obgyn Services, P.S.C. | Mayaguez, PR | $527.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.