KM Dental, C.S.P.

KM Dental, C.S.P. was paid $44K by Medicaid between Jan 2018 and Oct 2018, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 15% of everything it billed.

33Billing provider infoKM DENTAL, C.S.P.
HATO REY, PR 00918

33aNPI1841484573assigned 09/06/2007

33bProvider typeDental Clinic/Center

28Total paid$44K

24GClaims2,869

24DCodes billed12

24AFirst – last monthJan 2018 – Oct 2018

Compared with peers

Next to other Dental Clinic/Center providers in Puerto Rico

Rank by total paid#54 of 81

Median peer was paid$94K

This provider vs. median0.5×

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	2,869	$44K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	15%	322	295	$7K
D7140	Extraction, erupted tooth or exposed root	13%	293	166	$6K
D1208	Topical application of fluoride, excluding varnish	13%	451	410	$6K
D1120	Dental cleaning, childProphylaxis - child	12%	355	327	$5K
D2150	Silver amalgam - two surfaces, primary or permanent	12%	245	136	$5K
D0150	Comprehensive oral evaluation - new or established patient	8.9%	295	272	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	8.7%	418	383	$4K
D2140		8.2%	185	110	$4K
D0272	Bitewings - two radiographic images	6.8%	243	222	$3K
D0330	Panoramic radiographic image	1.8%	36	33	$780.95
D0140	Limited oral evaluation - problem focused	<1%	13	13	$140.40
D0220	Intraoral - periapical first radiographic image	<1%	13	13	$70.20

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 officialMALDONADO, KARLA (PEDIATRIC DENTIST)