Clinic
Clinica Dental CDT GMSP, INC
Clinica Dental CDT GMSP, INC was paid $631K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 28% of everything it billed.
33Billing provider infoCLINICA DENTAL CDT GMSP, INC
BAYAMON, PR 00961
BAYAMON, PR 00961
33aNPI1689971731assigned 02/24/2011
33bProvider typeDental Clinic/Center
28Total paid$631K
24GClaims36,166
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Puerto Rico
Rank by total paid#11 of 81
Median peer was paid$94K
This provider vs. median6.7×
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 | 2,752 | $36K | |
| 2019 | 2,457 | $39K | |
| 2020 | 1,621 | $33K | |
| 2021 | 4,801 | $89K | |
| 2022 | 6,739 | $129K | |
| 2023 | 8,037 | $127K | |
| 2024incomplete | 9,759 | $178K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 28% | 6,573 | 5,622 | $174K |
| D1999 | 19% | 8,567 | 6,728 | $122K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 4,082 | 3,539 | $86K |
| D0272 | Bitewings - two radiographic images | 12% | 5,372 | 4,600 | $76K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.3% | 3,799 | 3,259 | $52K |
| D1208 | Topical application of fluoride, excluding varnish | 5.1% | 2,375 | 2,115 | $32K |
| D7140 | Extraction, erupted tooth or exposed root | 2.7% | 311 | 218 | $17K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.6% | 952 | 892 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 2,012 | 1,559 | $16K |
| D0140 | Limited oral evaluation - problem focused | 1.9% | 734 | 669 | $12K |
| D2140 | 1.7% | 346 | 220 | $11K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.0% | 782 | 386 | $7K |
3 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.
From NPPES
Who's on the registration
Authorized officialTORO, ISMAEL (EXECUTIVE DIRECTOR)
Parent organizationCDT GMSP, INC