Dental
Feliciano, Jackeline
Feliciano, Jackeline was paid $37K by Medicaid between Oct 2020 and Nov 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 43% of everything it billed.
33Billing provider infoFELICIANO, JACKELINE
TOA BAJA, PR 00949
TOA BAJA, PR 00949
33aNPI1811000680assigned 08/16/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$37K
24GClaims1,955
24DCodes billed6
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#365 of 551
Median peer was paid$99K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2020 | 43 | $1K | |
| 2021 | 221 | $4K | |
| 2022 | 375 | $7K | |
| 2023 | 748 | $13K | |
| 2024incomplete | 568 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 43% | 579 | 552 | $16K |
| D1999 | 35% | 922 | 819 | $13K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.2% | 168 | 168 | $3K |
| D0272 | Bitewings - two radiographic images | 6.2% | 165 | 151 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.6% | 85 | 84 | $2K |
| D0330 | Panoramic radiographic image | 2.9% | 36 | 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.