Dental
Montilla, Raul
Montilla, Raul was paid $674K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.
33Billing provider infoMONTILLA, RAUL
SAN JUAN, PR 00907
SAN JUAN, PR 00907
33aNPI1750577136assigned 09/19/2007
33bProvider typeDentist
28Total paid$674K
24GClaims36,208
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Puerto Rico
Rank by total paid#21 of 284
Median peer was paid$86K
This provider vs. median7.9×
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 | 4,958 | $73K | |
| 2019 | 7,327 | $135K | |
| 2020 | 3,267 | $64K | |
| 2021 | 5,749 | $107K | |
| 2022 | 5,246 | $103K | |
| 2023 | 4,360 | $82K | |
| 2024incomplete | 5,301 | $110K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 23% | 5,857 | 5,209 | $156K |
| D0330 | Panoramic radiographic image | 14% | 3,429 | 2,935 | $96K |
| D1999 | 13% | 5,908 | 5,469 | $87K | |
| D0272 | Bitewings - two radiographic images | 11% | 5,282 | 4,636 | $73K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.8% | 4,824 | 4,290 | $66K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.9% | 2,594 | 2,280 | $46K |
| D1208 | Topical application of fluoride, excluding varnish | 6.6% | 3,218 | 2,774 | $45K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.9% | 1,170 | 740 | $40K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.7% | 1,407 | 1,201 | $25K |
| D2140 | 2.6% | 671 | 378 | $18K | |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 502 | 471 | $9K |
| D1351 | Sealant - per tooth | 1.1% | 527 | 60 | $8K |
2 more codes
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.