Clinica Dental Aguirre Del Sur

Clinica Dental Aguirre Del Sur was paid $20K by Medicaid between Apr 2018 and Nov 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 46% of everything it billed.

33Billing provider infoCLINICA DENTAL AGUIRRE DEL SUR
AGUIRRE, PR 00704

33aNPI1750548954assigned 05/16/2008

33bProvider typeDental Clinic/Center

28Total paid$20K

24GClaims1,020

24DCodes billed9

24AFirst – last monthApr 2018 – Nov 2024

Compared with peers

Next to other Dental Clinic/Center providers in Puerto Rico

Rank by total paid#61 of 81

Median peer was paid$94K

This provider vs. median0.2×

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	380	$6K
2019	88	$2K
2020	43	$1K
2021	88	$2K
2022	210	$5K
2023	95	$2K
2024incomplete	116	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	46%	303	268	$9K
D0272	Bitewings - two radiographic images	17%	229	192	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	16%	239	210	$3K
D1999		6.0%	77	74	$1K
D2150	Silver amalgam - two surfaces, primary or permanent	4.7%	37	28	$929.90
D0150	Comprehensive oral evaluation - new or established patient	4.5%	60	60	$880.33
D2140		2.7%	25	23	$539.00
D1208	Topical application of fluoride, excluding varnish	2.5%	36	36	$486.00
D0220	Intraoral - periapical first radiographic image	<1%	14	14	$64.80

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 officialCUBERO, MANUEL (DENTIST -OWNER)