Dental
Borinquen Health Care Center, INC.
Borinquen Health Care Center, INC. was paid $1.72M by Medicaid between Nov 2018 and Mar 2024, across 89 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoBORINQUEN HEALTH CARE CENTER, INC.
MIAMI, FL 33137
MIAMI, FL 33137
33aNPI1598248023assigned 09/11/2018
33bProvider typeDentist
28Total paid$1.72M
24GClaims130,873
24DCodes billed89
24AFirst – last monthNov 2018 – Mar 2024
Compared with peers
Next to other Dentist providers in Florida
Rank by total paid#21 of 542
Median peer was paid$25K
This provider vs. median68×
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 | 1,661 | $33K | |
| 2019 | 48,178 | $693K | |
| 2020 | 55,628 | $848K | |
| 2021 | 12,288 | $70K | |
| 2022 | 256 | $0.00 | |
| 2023 | 727 | $515.35 | |
| 2024incomplete | 12,135 | $78K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 28,395 | 24,664 | $606K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 13% | 4,025 | 3,904 | $230K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 3,577 | 3,472 | $195K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.5% | 2,672 | 2,590 | $146K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.5% | 2,194 | 2,106 | $130K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.2% | 1,648 | 1,582 | $90K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4.0% | 3,444 | 2,830 | $69K |
| H1000 | Prenatal care, at-risk assessment | 3.4% | 1,548 | 1,093 | $59K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 2,044 | 1,929 | $43K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 2.4% | 754 | 534 | $41K |
| D9995 | 1.5% | 568 | 565 | $26K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.1% | 13,626 | 13,063 | $20K |
77 more codes
| 99442 | <1% | 779 | $9K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 179 | $7K |
| 99441 | <1% | 1,088 | $7K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 554 | $5K |
| D0120 | Dental checkup, returning patient | <1% | 131 | $5K |
| D1110 | Prophylaxis - adult | <1% | 163 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 82 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 128 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 117 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 274 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 52 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 706 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $2K |
| D1120 | Dental cleaning, child | <1% | 90 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,785 | $1K |
| 99443 | <1% | 45 | $1K | |
| 90686 | <1% | 5,508 | $845.32 | |
| D0330 | Panoramic radiographic image | <1% | 95 | $759.14 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 14 | $651.36 |
| 96127 | <1% | 3,737 | $648.14 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 535 | $635.51 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 44 | $595.92 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 51 | $474.30 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 164 | $464.57 |
| 90474 | <1% | 502 | $406.00 | |
| 99422 | <1% | 93 | $291.92 | |
| 98940 | <1% | 18 | $245.43 | |
| D1351 | Sealant - per tooth | <1% | 65 | $221.34 |
| 90461 | <1% | 4,767 | $201.20 | |
| 86580 | <1% | 470 | $184.73 | |
| 98968 | <1% | 24 | $131.35 | |
| D1330 | <1% | 873 | $120.10 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 171 | $89.28 |
| D1206 | Topical application of fluoride varnish | <1% | 140 | $85.00 |
| 90633 | <1% | 576 | $66.32 | |
| 3074F | <1% | 4,189 | $50.00 | |
| 90685 | <1% | 223 | $44.00 | |
| 90651 | <1% | 359 | $40.00 | |
| 90648 | <1% | 828 | $28.00 | |
| G0467 | Community health center visit, returning patient | <1% | 483 | $23.42 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 13 | $23.10 |
| 90670 | <1% | 1,460 | $20.00 | |
| 90620 | <1% | 55 | $10.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 28 | $10.00 |
| 90710 | <1% | 197 | $10.00 | |
| 90680 | <1% | 475 | $8.00 | |
| 81025 | <1% | 13 | $5.26 | |
| 90723 | 0% | 551 | $0.00 | |
| 1126F | 0% | 3,349 | $0.00 | |
| 1036F | 0% | 1,590 | $0.00 | |
| 3008F | 0% | 4,425 | $0.00 | |
| 1170F | 0% | 900 | $0.00 | |
| 92551 | 0% | 2,044 | $0.00 | |
| 90656 | 0% | 162 | $0.00 | |
| 99000 | 0% | 208 | $0.00 | |
| 3079F | 0% | 132 | $0.00 | |
| 1125F | 0% | 155 | $0.00 | |
| Q3014 | Telehealth originating site facility fee | 0% | 31 | $0.00 |
| 90696 | 0% | 13 | $0.00 | |
| 3044F | 0% | 32 | $0.00 | |
| 90698 | 0% | 13 | $0.00 | |
| 3080F | 0% | 15 | $0.00 | |
| 3014F | 0% | 13 | $0.00 | |
| 1160F | 0% | 6,310 | $0.00 | |
| 3078F | 0% | 3,994 | $0.00 | |
| 3725F | 0% | 743 | $0.00 | |
| 99177 | 0% | 1,871 | $0.00 | |
| 1159F | 0% | 5,291 | $0.00 | |
| 99173 | 0% | 464 | $0.00 | |
| 90700 | 0% | 25 | $0.00 | |
| 90734 | 0% | 115 | $0.00 | |
| 1158F | 0% | 384 | $0.00 | |
| 3077F | 0% | 76 | $0.00 | |
| 1100F | 0% | 44 | $0.00 | |
| 90681 | 0% | 28 | $0.00 | |
| 3288F | 0% | 32 | $0.00 | |
| 2022F | 0% | 12 | $0.00 |
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 officialVELEZ, PAUL (CEO / PRESIDENT)
Parent organizationBORINQUEN HEALTH CARE CENTER, INC.
| Provider | Location | Paid |
|---|---|---|
| Borinquen Health Care Center, INC. | Miami, FL | $4.08M |
| Borinquen Health Care Center, INC. | Miami, FL | $258K |
| Borinquen Health Care Center, INC. | Miami, FL | $99K |
| Borinquen Health Care Center, INC. | North Miami, FL | $68K |
| Borinquen Health Care Center, INC. | Miami, FL | $38K |
| Borinquen Health Care Center, INC. | Miami, FL | $33K |
| Borinquen Health Care Center, INC. | North Miami, FL | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.