De Pena Diaz, Tulia

De Pena Diaz, Tulia was paid $903.80 by Medicaid between Jun 2021 and Nov 2021, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 69% of everything it billed.

33Billing provider infoDE PENA DIAZ, TULIA
GUAYAMA, PR 00785

33aNPI1619976487assigned 07/14/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$903.80

24GClaims67

24DCodes billed3

24AFirst – last monthJun 2021 – Nov 2021

Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#522 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
2021	67	$903.80

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	69%	31	26	$619.45
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	23%	16	16	$211.80
D1999		8.0%	20	14	$72.55

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.