Dental
Encarnacion Gines, Yatnee
Encarnacion Gines, Yatnee was paid $167K by Medicaid between Oct 2019 and Oct 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.
33Billing provider infoENCARNACION GINES, YATNEE
CAROLINA, PR 00984
CAROLINA, PR 00984
33aNPI1548790827assigned 06/19/2017
33bProvider typeDentist
28Total paid$167K
24GClaims9,875
24DCodes billed12
24AFirst – last monthOct 2019 – Oct 2024
Compared with peers
Next to other Dentist providers in Puerto Rico
Rank by total paid#100 of 284
Median peer was paid$86K
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 | |
|---|---|---|---|
| 2019 | 59 | $611.51 | |
| 2020 | 1,203 | $20K | |
| 2021 | 2,896 | $46K | |
| 2022 | 2,610 | $46K | |
| 2023 | 1,826 | $31K | |
| 2024incomplete | 1,281 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 29% | 1,755 | 1,518 | $49K |
| D1999 | 17% | 2,194 | 1,893 | $29K | |
| D0272 | Bitewings - two radiographic images | 12% | 1,394 | 1,216 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.5% | 735 | 665 | $16K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.4% | 1,103 | 943 | $16K |
| D0330 | Panoramic radiographic image | 8.0% | 476 | 431 | $13K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.3% | 167 | 110 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 4.2% | 968 | 842 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.7% | 752 | 564 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 1.4% | 176 | 150 | $2K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 141 | 129 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 14 | 12 | $240.00 |
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.