Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Arroyo › NPI 1639275258
Dental

Diaz, Raul

Diaz, Raul was paid $67K by Medicaid between Jan 2018 and Aug 2022, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.

33Billing provider infoDIAZ, RAUL
ARROYO, PR 00714
33aNPI1639275258assigned 09/15/2006
33bProvider typeDentist
28Total paid$67K
24GClaims4,605
24DCodes billed12
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers

Next to other Dentist providers in Puerto Rico

Rank by total paid#162 of 284
Median peer was paid$86K
This provider vs. median0.8×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20183,927$58K
2019217$3K
2020119$1K
2021262$4K
202280$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 34% 1,007 836 $23K
D0272 Bitewings - two radiographic images 16% 813 662 $11K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 13% 876 712 $9K
D0150 Comprehensive oral evaluation - new or established patient 9.9% 465 373 $7K
D1208 Topical application of fluoride, excluding varnish 6.8% 346 283 $5K
D7140 Extraction, erupted tooth or exposed root 5.7% 175 109 $4K
D2150 Silver amalgam - two surfaces, primary or permanent 5.0% 136 80 $3K
D1120 Dental cleaning, childProphylaxis - child 4.8% 215 178 $3K
D1999 1.9% 214 197 $1K
D0220 Intraoral - periapical first radiographic image 1.7% 228 184 $1K
D2160 1.3% 28 12 $854.70
D0230 Intraoral - periapical each additional radiographic image <1% 102 75 $380.60

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.