Dental
Abc Pediatric Dental Clinic, PSC
Abc Pediatric Dental Clinic, PSC was paid $107K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is D1999, — 26% of everything it billed.
33Billing provider infoABC PEDIATRIC DENTAL CLINIC, PSC
SAN JUAN, PR 00912
SAN JUAN, PR 00912
33aNPI1871740308assigned 08/27/2008
33bProvider typePediatric Dentist
28Total paid$107K
24GClaims5,611
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Puerto Rico
Rank by total paid#29 of 52
Median peer was paid$121K
This provider vs. median0.9×
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 | 140 | $2K | |
| 2020 | 15 | $375.00 | |
| 2021 | 285 | $4K | |
| 2022 | 580 | $9K | |
| 2023 | 771 | $11K | |
| 2024incomplete | 3,820 | $80K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1999 | 26% | 1,932 | 1,304 | $28K | |
| D7140 | Extraction, erupted tooth or exposed root | 22% | 353 | 77 | $24K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 1,171 | 799 | $17K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 850 | 550 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.5% | 599 | 378 | $9K |
| D1351 | Sealant - per tooth | 5.0% | 349 | 33 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 167 | 118 | $4K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.6% | 48 | 12 | $2K |
| D0272 | Bitewings - two radiographic images | 1.0% | 79 | 39 | $1K |
| D1110 | Prophylaxis - adult | <1% | 24 | 12 | $668.40 |
| D0330 | Panoramic radiographic image | <1% | 13 | 13 | $370.32 |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | 13 | $228.58 |
1 more codes
| D9995 | <1% | 13 | $182.00 |
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 officialPAGAN, ALEXIS (PRESIDENT)