Dental
Diaz Cancel, Rafael
Diaz Cancel, Rafael was paid $235K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoDIAZ CANCEL, RAFAEL
CAROLINA, PR 00986
CAROLINA, PR 00986
33aNPI1669470654assigned 07/13/2005
33bProvider typeDentist
28Total paid$235K
24GClaims12,486
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in Puerto Rico
Rank by total paid#80 of 284
Median peer was paid$86K
This provider vs. median2.7×
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 | 4,845 | $83K | |
| 2019 | 2,263 | $43K | |
| 2020 | 1,133 | $23K | |
| 2021 | 1,739 | $35K | |
| 2022 | 1,069 | $21K | |
| 2023 | 691 | $13K | |
| 2024incomplete | 746 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 2,725 | 2,370 | $71K |
| D0330 | Panoramic radiographic image | 15% | 1,276 | 1,128 | $35K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 1,435 | 1,246 | $25K |
| D1999 | 9.3% | 1,545 | 1,395 | $22K | |
| D0272 | Bitewings - two radiographic images | 8.1% | 1,389 | 1,266 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.0% | 1,601 | 1,359 | $19K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.5% | 637 | 254 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | 3.9% | 826 | 673 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.2% | 470 | 382 | $7K |
| D2140 | 2.3% | 252 | 113 | $5K | |
| D7140 | Extraction, erupted tooth or exposed root | 1.8% | 190 | 96 | $4K |
| D2160 | <1% | 82 | 59 | $2K |
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.