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

Diaz, Ernie

Diaz, Ernie was paid $26K by Medicaid between Jan 2018 and Mar 2023, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 43% of everything it billed.

33Billing provider infoDIAZ, ERNIE
CAROLINA, PR 00983
33aNPI1710949201assigned 04/03/2006
28Total paid$26K
24GClaims1,881
24DCodes billed8
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#395 of 551
Median peer was paid$99K
This provider vs. median0.3×

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
20181,091$13K
201940$1K
2020165$2K
2021385$7K
2022187$3K
202313$334.20
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 43% 440 379 $11K
D0150 Comprehensive oral evaluation - new or established patient 24% 373 304 $6K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 9.6% 246 195 $3K
D0230 Intraoral - periapical each additional radiographic image 7.1% 347 178 $2K
D0272 Bitewings - two radiographic images 6.9% 135 111 $2K
D0220 Intraoral - periapical first radiographic image 6.4% 287 231 $2K
D1120 Dental cleaning, childProphylaxis - child 2.0% 32 16 $518.40
D2140 1.4% 21 12 $366.20

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.