Clinic
L .R. Dental C.S.P.
L .R. Dental C.S.P. was paid $53K by Medicaid between Feb 2018 and Nov 2023, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 43% of everything it billed.
33Billing provider infoL .R. DENTAL C.S.P.
SAN JUAN, PR 00921
SAN JUAN, PR 00921
33aNPI1710303755assigned 03/14/2014
33bProvider typeDental Clinic/Center
28Total paid$53K
24GClaims2,912
24DCodes billed6
24AFirst – last monthFeb 2018 – Nov 2023
Compared with peers
Next to other Dental Clinic/Center providers in Puerto Rico
Rank by total paid#51 of 81
Median peer was paid$94K
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
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 | 399 | $6K | |
| 2019 | 735 | $14K | |
| 2020 | 266 | $6K | |
| 2021 | 661 | $11K | |
| 2022 | 796 | $15K | |
| 2023 | 55 | $798.05 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 43% | 893 | 808 | $23K |
| D1999 | 21% | 771 | 717 | $11K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 580 | 529 | $7K |
| D0272 | Bitewings - two radiographic images | 11% | 426 | 370 | $6K |
| D0330 | Panoramic radiographic image | 8.0% | 160 | 127 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.0% | 82 | 82 | $2K |
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 officialVIVES PAGAN, JUAN (DENTIST)