Dominguez Carrazquillo, Luis

Dominguez Carrazquillo, Luis was paid $22K by Medicaid between Jan 2018 and Sep 2018, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.

33Billing provider infoDOMINGUEZ CARRAZQUILLO, LUIS
GUAYAMA, PR 00784

33aNPI1659379303assigned 07/07/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$22K

24GClaims1,398

24DCodes billed11

24AFirst – last monthJan 2018 – Sep 2018

Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#405 of 551

Median peer was paid$99K

This provider vs. median0.2×

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	1,398	$22K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	29%	294	234	$6K
D0150	Comprehensive oral evaluation - new or established patient	16%	256	212	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	11%	259	207	$3K
D2160		10%	82	42	$2K
D1208	Topical application of fluoride, excluding varnish	10.0%	164	132	$2K
D0272	Bitewings - two radiographic images	7.3%	123	100	$2K
D2161		5.9%	44	25	$1K
D1120	Dental cleaning, childProphylaxis - child	4.0%	54	54	$874.80
D2150	Silver amalgam - two surfaces, primary or permanent	2.2%	19	13	$478.80
D2140		1.9%	20	13	$410.40
D0220	Intraoral - periapical first radiographic image	1.7%	83	72	$367.20

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.