Dental
Machicote, Jorge
Machicote, Jorge was paid $32K by Medicaid between Feb 2018 and Mar 2022, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.
33Billing provider infoMACHICOTE, JORGE
CIALES, PR 00638
CIALES, PR 00638
33aNPI1851455653assigned 12/19/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$32K
24GClaims2,054
24DCodes billed13
24AFirst – last monthFeb 2018 – Mar 2022
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#375 of 551
Median peer was paid$99K
This provider vs. median0.3×
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 | 1,772 | $29K | |
| 2019 | 129 | $2K | |
| 2020 | 91 | $790.57 | |
| 2021 | 49 | $352.46 | |
| 2022 | 13 | $293.54 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 25% | 378 | 368 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 21% | 476 | 463 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 15% | 132 | 131 | $5K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 8.2% | 106 | 65 | $3K |
| D3310 | 7.7% | 20 | 12 | $3K | |
| D0272 | Bitewings - two radiographic images | 7.1% | 177 | 171 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 4.9% | 118 | 118 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.8% | 265 | 181 | $916.00 |
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 178 | 173 | $894.60 |
| D1120 | Dental cleaning, childProphylaxis - child | 1.8% | 36 | 36 | $567.00 |
| D1999 | 1.2% | 107 | 86 | $380.59 | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.1% | 36 | 35 | $356.40 |
1 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 25 | $269.10 |
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.