Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Rafael J Jimenez Barreras Dentista CSP

Rafael J Jimenez Barreras Dentista CSP was paid $89K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 41% of everything it billed.

33Billing provider infoRAFAEL J JIMENEZ BARRERAS DENTISTA CSP
LAS PIEDRAS, PR 00771
33aNPI1841390085assigned 09/25/2006
33bProvider typeDentist
28Total paid$89K
24GClaims4,998
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Dentist providers in Puerto Rico

Rank by total paid#141 of 284
Median peer was paid$86K
This provider vs. median1.0×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
20181,391$22K
2019908$17K
2020126$3K
2021233$3K
2022480$8K
20231,002$19K
2024incomplete858$17K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 41% 1,356 1,064 $36K
D1999 24% 1,401 954 $21K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 11% 767 612 $10K
D0272 Bitewings - two radiographic images 8.6% 539 441 $8K
D0150 Comprehensive oral evaluation - new or established patient 6.9% 347 274 $6K
D0210 Intraoral - complete series of radiographic images 3.2% 72 71 $3K
D1208 Topical application of fluoride, excluding varnish 2.3% 152 105 $2K
D0220 Intraoral - periapical first radiographic image 1.9% 252 232 $2K
D0230 Intraoral - periapical each additional radiographic image 1.1% 74 66 $997.42
D1120 Dental cleaning, childProphylaxis - child <1% 38 18 $659.09

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 officialJIMENEZ, RAFAEL (OWNER)
Same official

Other billing entities under JIMENEZ, RAFAEL

Full network →
ProviderLocationPaid
Primed Healthcare PAKissimmee, FL$2K
Jimenez Home Health Care, Corp.Coral Gables, FL$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.