Dental
Mirabal, Ambar
Mirabal, Ambar was paid $333K by Medicaid between Mar 2021 and Dec 2024, across 14 billing codes. Its largest line is D1999, — 29% of everything it billed.
33Billing provider infoMIRABAL, AMBAR
ADJUNTAS, PR 00601
ADJUNTAS, PR 00601
33aNPI1659781706assigned 04/29/2014
33bProvider typeDentist
28Total paid$333K
24GClaims17,815
24DCodes billed14
24AFirst – last monthMar 2021 – Dec 2024
Compared with peers
Next to other Dentist providers in Puerto Rico
Rank by total paid#60 of 284
Median peer was paid$86K
This provider vs. median3.9×
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 | 2,678 | $47K | |
| 2022 | 3,354 | $63K | |
| 2023 | 4,757 | $85K | |
| 2024incomplete | 7,026 | $138K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1999 | 29% | 7,017 | 5,094 | $96K | |
| D1110 | Prophylaxis - adult | 24% | 2,807 | 2,430 | $78K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 10% | 775 | 507 | $34K |
| D0272 | Bitewings - two radiographic images | 8.0% | 1,890 | 1,607 | $27K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.8% | 1,817 | 1,604 | $26K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.2% | 1,042 | 882 | $24K |
| D1208 | Topical application of fluoride, excluding varnish | 4.0% | 965 | 854 | $13K |
| D2160 | 3.1% | 210 | 156 | $10K | |
| D2140 | 3.1% | 290 | 196 | $10K | |
| D1120 | Dental cleaning, childProphylaxis - child | 2.0% | 349 | 306 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 594 | 521 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 14 | 12 | $909.84 |
2 more codes
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.