Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Caldera, Oiknelly

Caldera, Oiknelly was paid $189K by Medicaid between Jan 2018 and Jun 2022, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 20% of everything it billed.

33Billing provider infoCALDERA, OIKNELLY
CAROLINA, PR 00987
33aNPI1760806582assigned 02/13/2014
28Total paid$189K
24GClaims14,288
24DCodes billed17
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers

Next to other Student in an Organized Health Care Education/Training Program providers in Puerto Rico

Rank by total paid#18 of 77
Median peer was paid$39K
This provider vs. median4.9×

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

$0$10K$20K$30K2018201920202021202220232024
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
201811,880$162K
2019722$9K
2020254$3K
2021900$11K
2022532$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 20% 1,591 1,335 $38K
D2150 Silver amalgam - two surfaces, primary or permanent 15% 1,173 600 $28K
D0272 Bitewings - two radiographic images 10% 1,508 1,255 $19K
D2160 7.7% 490 307 $15K
D0150 Comprehensive oral evaluation - new or established patient 7.7% 1,047 860 $14K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 6.1% 1,130 951 $12K
D0230 Intraoral - periapical each additional radiographic image 5.8% 2,760 1,672 $11K
D1208 Topical application of fluoride, excluding varnish 5.5% 810 671 $10K
D0220 Intraoral - periapical first radiographic image 4.8% 1,745 1,436 $9K
D7140 Extraction, erupted tooth or exposed root 4.6% 395 244 $9K
D1120 Dental cleaning, childProphylaxis - child 4.3% 537 443 $8K
D2940 2.4% 262 185 $5K
5 more codes
D2140 2.0% 191 $4K
D0140 Limited oral evaluation - problem focused 1.6% 263 $3K
D1999 <1% 337 $2K
D3310 <1% 13 $2K
D2331 <1% 36 $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.