Gonzalez, Ivelisse

Gonzalez, Ivelisse was paid $246K by Medicaid between Jan 2018 and Jul 2021, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.

33Billing provider infoGONZALEZ, IVELISSE
YAUCO, PR 00698

33aNPI1720204753assigned 04/18/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$246K

24GClaims17,530

24DCodes billed15

24AFirst – last monthJan 2018 – Jul 2021

Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#157 of 551

Median peer was paid$99K

This provider vs. median2.5×

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	6,946	$91K
2019	8,157	$116K
2020	970	$17K
2021	1,457	$23K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	31%	3,136	2,655	$75K
D0150	Comprehensive oral evaluation - new or established patient	14%	2,152	1,739	$36K
D0272	Bitewings - two radiographic images	13%	2,387	1,998	$33K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	7.7%	1,743	1,539	$19K
D1208	Topical application of fluoride, excluding varnish	6.0%	1,071	862	$15K
D0220	Intraoral - periapical first radiographic image	5.9%	2,449	2,117	$14K
D1999		5.0%	890	703	$12K
D0230	Intraoral - periapical each additional radiographic image	4.3%	2,075	1,616	$11K
D2140		2.8%	299	248	$7K
D0140	Limited oral evaluation - problem focused	2.8%	495	453	$7K
D1120	Dental cleaning, childProphylaxis - child	2.8%	397	306	$7K
D2330		1.8%	170	114	$4K

3 more codes

D2150	Silver amalgam - two surfaces, primary or permanent	1.1%	89	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.0%	95	$2K
D2940		<1%	82	$1K

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.