Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Odontologia General Y Pediatrica

Odontologia General Y Pediatrica was paid $72K by Medicaid between Jan 2018 and Jun 2024, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 47% of everything it billed.

33Billing provider infoODONTOLOGIA GENERAL Y PEDIATRICA
SAN JUAN, PR 00918
33aNPI1700949013assigned 12/18/2006
33bProvider typePediatric Dentist
28Total paid$72K
24GClaims3,804
24DCodes billed7
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers

Next to other Pediatric Dentist providers in Puerto Rico

Rank by total paid#34 of 52
Median peer was paid$121K
This provider vs. median0.6×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2018508$8K
2019426$7K
2020469$11K
2021800$14K
2022796$16K
2023385$8K
2024incomplete420$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 47% 1,269 1,089 $34K
D1999 27% 1,256 1,087 $19K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 11% 623 519 $8K
D0272 Bitewings - two radiographic images 7.7% 410 371 $6K
D0150 Comprehensive oral evaluation - new or established patient 3.9% 141 127 $3K
D0330 Panoramic radiographic image 3.0% 91 77 $2K
D1208 Topical application of fluoride, excluding varnish <1% 14 14 $189.00

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.

From NPPES

Who's on the registration

Authorized officialMARTINEZ, CARLOS (DUENO)
Same official

Other billing entities under MARTINEZ, CARLOS

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.