Amundaray Diaz, Emmanuel

Amundaray Diaz, Emmanuel was paid $11K by Medicaid between Nov 2023 and Nov 2024, across 7 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 39% of everything it billed.

33Billing provider infoAMUNDARAY DIAZ, EMMANUEL
SAN JUAN, PR 00917

33aNPI1659728061assigned 05/16/2016

33bProvider typeOral and Maxillofacial Surgery (Dentist)

28Total paid$11K

24GClaims324

24DCodes billed7

24AFirst – last monthNov 2023 – Nov 2024

Compared with peers

Next to other Oral and Maxillofacial Surgery (Dentist) providers in Puerto Rico

Rank by total paid#27 of 38

Median peer was paid$66K

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
2023	67	$2K
2024incomplete	257	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	39%	151	151	$4K
D1110	Prophylaxis - adult	18%	37	37	$2K
D0330	Panoramic radiographic image	18%	46	46	$2K
D0274	Bitewings - four radiographic images	17%	52	52	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	3.5%	13	13	$387.15
D1206	Topical application of fluoride varnish	3.1%	12	12	$342.00
D0140	Limited oral evaluation - problem focused	2.0%	13	13	$222.00

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.