Maldonado, Carlos

Maldonado, Carlos was paid $853K 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 infoMALDONADO, CARLOS
SAN JUAN, PR 00926

33aNPI1750498390assigned 08/23/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$853K

24GClaims43,380

24DCodes billed15

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#21 of 551

Median peer was paid$99K

This provider vs. median8.6×

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	2,536	$39K
2019	6,188	$107K
2020	2,145	$42K
2021	6,100	$122K
2022	6,338	$127K
2023	9,300	$188K
2024incomplete	10,773	$228K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	28%	8,439	6,950	$243K
D1999		14%	8,406	6,945	$123K
D0330	Panoramic radiographic image	14%	3,904	3,239	$118K
D0150	Comprehensive oral evaluation - new or established patient	11%	4,353	3,627	$94K
D0272	Bitewings - two radiographic images	11%	6,294	5,167	$92K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	9.9%	5,989	4,863	$85K
D1208	Topical application of fluoride, excluding varnish	6.0%	3,636	2,912	$51K
D1120	Dental cleaning, childProphylaxis - child	3.4%	1,535	1,181	$29K
D0210	Intraoral - complete series of radiographic images	<1%	159	126	$5K
D1351	Sealant - per tooth	<1%	309	32	$5K
D2140		<1%	67	40	$3K
D2150	Silver amalgam - two surfaces, primary or permanent	<1%	55	36	$3K

3 more codes

D0140	Limited oral evaluation - problem focused	<1%	58	$1K
D0230	Intraoral - periapical each additional radiographic image	<1%	107	$624.05
D0220	Intraoral - periapical first radiographic image	<1%	69	$446.24

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.