Fantauzzi-Ortiz, Hipolito

Fantauzzi-Ortiz, Hipolito was paid $4K by Medicaid between Jan 2018 and Aug 2018, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 72% of everything it billed.

33Billing provider infoFANTAUZZI-ORTIZ, HIPOLITO
AGUADILLA, PR 00603

33aNPI1659377745assigned 06/22/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$4K

24GClaims229

24DCodes billed2

24AFirst – last monthJan 2018 – Aug 2018

Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#493 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
2018	229	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	72%	123	110	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	28%	106	93	$1K

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.