Dental
Clinica Dental Familiar Cidrena
Clinica Dental Familiar Cidrena was paid $542K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.
33Billing provider infoCLINICA DENTAL FAMILIAR CIDRENA
CIDRA, PR 00739
CIDRA, PR 00739
33aNPI1609908086assigned 03/12/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$542K
24GClaims28,638
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#58 of 551
Median peer was paid$99K
This provider vs. median5.5×
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 | 3,719 | $58K | |
| 2019 | 5,949 | $91K | |
| 2020 | 1,846 | $35K | |
| 2021 | 1,696 | $32K | |
| 2022 | 4,102 | $87K | |
| 2023 | 5,424 | $117K | |
| 2024incomplete | 5,902 | $122K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 29% | 5,693 | 4,464 | $159K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 6,776 | 5,306 | $91K |
| D1999 | 15% | 5,360 | 4,282 | $79K | |
| D0272 | Bitewings - two radiographic images | 6.5% | 2,480 | 1,892 | $35K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.3% | 838 | 543 | $34K |
| D0330 | Panoramic radiographic image | 6.1% | 1,080 | 859 | $33K |
| D7140 | Extraction, erupted tooth or exposed root | 5.8% | 1,006 | 524 | $31K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.9% | 2,543 | 1,699 | $27K |
| D1208 | Topical application of fluoride, excluding varnish | 3.7% | 1,420 | 1,127 | $20K |
| D2140 | 2.2% | 431 | 295 | $12K | |
| D1120 | Dental cleaning, childProphylaxis - child | 1.5% | 490 | 387 | $8K |
| D2160 | 1.2% | 126 | 81 | $7K |
3 more codes
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 officialBENITEZ, MILDRED (PRESIDENT)