Mercado, Jose

Mercado, Jose was paid $4K by Medicaid between Feb 2018 and Sep 2018, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 52% of everything it billed.

33Billing provider infoMERCADO, JOSE
AGUADILLA, PR 00603

33aNPI1679619001assigned 01/30/2007

33bProvider typeDentist

28Total paid$4K

24GClaims403

24DCodes billed3

24AFirst – last monthFeb 2018 – Sep 2018

Compared with peers

Next to other Dentist providers in Puerto Rico

Rank by total paid#242 of 284

Median peer was paid$86K

This provider vs. median0.1×

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	403	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	52%	147	101	$2K
D0150	Comprehensive oral evaluation - new or established patient	32%	141	92	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	16%	115	91	$702.90

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.