Dental
Franco Mal, Jose
Franco Mal, Jose was paid $197K by Medicaid between Jan 2018 and Apr 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.
33Billing provider infoFRANCO MAL, JOSE
PONCE, PR 00730
PONCE, PR 00730
33aNPI1851446488assigned 01/24/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$197K
24GClaims11,653
24DCodes billed11
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#187 of 551
Median peer was paid$99K
This provider vs. median2.0×
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
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 | 2,343 | $34K | |
| 2019 | 3,411 | $52K | |
| 2020 | 723 | $12K | |
| 2021 | 2,470 | $43K | |
| 2022 | 1,793 | $38K | |
| 2023 | 675 | $13K | |
| 2024incomplete | 238 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 29% | 2,229 | 1,937 | $58K |
| D7140 | Extraction, erupted tooth or exposed root | 19% | 1,142 | 786 | $38K |
| D0272 | Bitewings - two radiographic images | 12% | 1,708 | 1,481 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 1,325 | 1,137 | $24K |
| D1999 | 11% | 1,536 | 1,341 | $21K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.3% | 1,207 | 1,029 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 3.8% | 1,159 | 1,013 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.6% | 1,101 | 643 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 1.5% | 208 | 155 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 20 | 16 | $324.04 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 18 | 16 | $301.40 |
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.