Jaruco Dental Services CSP

Jaruco Dental Services CSP was paid $8K by Medicaid between Feb 2018 and Jun 2021, across 7 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 34% of everything it billed.

33Billing provider infoJARUCO DENTAL SERVICES CSP
GUAYAMA, PR 00784

33aNPI1568841484assigned 05/26/2015

33bProvider typeGeneral Practice Dentistry

28Total paid$8K

24GClaims484

24DCodes billed7

24AFirst – last monthFeb 2018 – Jun 2021

Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#460 of 551

Median peer was paid$99K

This provider vs. median0.1×

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	53	$1K
2019	369	$6K
2021	62	$638.44

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	34%	161	95	$3K
D1110	Prophylaxis - adult	30%	105	60	$2K
D1208	Topical application of fluoride, excluding varnish	11%	60	26	$830.74
D1999		8.2%	62	60	$638.44
D1120	Dental cleaning, childProphylaxis - child	7.3%	33	12	$574.40
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	6.0%	41	17	$465.78
D0272	Bitewings - two radiographic images	3.9%	22	12	$302.90

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 officialDOMINGUEZ REVERON, IVELISSE (PRESIDENT)