Roldan, Yamira

Roldan, Yamira was paid $5K by Medicaid between Jan 2018 and Sep 2018, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 48% of everything it billed.

33Billing provider infoROLDAN, YAMIRA
AGUADILLA, PR 00603

33aNPI1538162961assigned 05/31/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$5K

24GClaims289

24DCodes billed6

24AFirst – last monthJan 2018 – Sep 2018

Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#477 of 551

Median peer was paid$99K

This provider vs. median0.0×

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
2018	289	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	48%	107	104	$2K
D0272	Bitewings - two radiographic images	18%	66	66	$877.50
D0150	Comprehensive oral evaluation - new or established patient	13%	43	43	$619.20
D1208	Topical application of fluoride, excluding varnish	9.3%	34	34	$459.00
D0330	Panoramic radiographic image	6.8%	13	13	$333.45
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	5.3%	26	26	$261.00

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.