Dental
Ortiz, Raul
Ortiz, Raul was paid $228K by Medicaid between Jan 2018 and Jul 2023, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.
33Billing provider infoORTIZ, RAUL
COAMO, PR 00769
COAMO, PR 00769
33aNPI1851402218assigned 08/31/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$228K
24GClaims12,901
24DCodes billed13
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#169 of 551
Median peer was paid$99K
This provider vs. median2.3×
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 | 10,561 | $180K | |
| 2019 | 297 | $6K | |
| 2020 | 267 | $5K | |
| 2021 | 1,133 | $23K | |
| 2022 | 539 | $12K | |
| 2023 | 104 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 26% | 2,431 | 2,044 | $60K |
| D0330 | Panoramic radiographic image | 12% | 1,057 | 916 | $28K |
| D0272 | Bitewings - two radiographic images | 11% | 1,940 | 1,596 | $24K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 9.2% | 864 | 476 | $21K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.4% | 1,896 | 1,566 | $19K |
| D2140 | 8.0% | 886 | 427 | $18K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.9% | 970 | 823 | $16K |
| D1208 | Topical application of fluoride, excluding varnish | 5.2% | 901 | 736 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | 3.8% | 395 | 236 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.4% | 502 | 413 | $8K |
| D1999 | 2.3% | 615 | 564 | $5K | |
| D2160 | 2.3% | 188 | 140 | $5K |
1 more codes
| D0140 | Limited oral evaluation - problem focused | 1.1% | 256 | $3K |
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.