Jusino Cordova, Ariel

Jusino Cordova, Ariel was paid $7K by Medicaid between Jan 2018 and Jun 2022, across 5 billing codes. Its largest line is D1999, — 62% of everything it billed.

33Billing provider infoJUSINO CORDOVA, ARIEL
VEGA BAJA, PR 00693

33aNPI1831263144assigned 11/20/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$7K

24GClaims610

24DCodes billed5

24AFirst – last monthJan 2018 – Jun 2022

Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#463 of 551

Median peer was paid$99K

This provider vs. median0.1×

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	68	$905.10
2019	35	$676.26
2020	191	$3K
2021	211	$2K
2022	105	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1999		62%	432	348	$4K
D1110	Prophylaxis - adult	17%	56	43	$1K
D0150	Comprehensive oral evaluation - new or established patient	11%	47	37	$763.34
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	7.1%	50	45	$502.10
D0230	Intraoral - periapical each additional radiographic image	2.7%	25	16	$194.55

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.