Dental
Gonzalez, Nicole
Gonzalez, Nicole was paid $4K by Medicaid between Oct 2021 and Apr 2022, across 5 billing codes. Its largest line is D1999, — 69% of everything it billed.
33Billing provider infoGONZALEZ, NICOLE
CIDRA, PR 00739
CIDRA, PR 00739
33aNPI1881157782assigned 04/09/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$4K
24GClaims268
24DCodes billed5
24AFirst – last monthOct 2021 – Apr 2022
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#483 of 551
Median peer was paid$99K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 172 | $3K | |
| 2022 | 96 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1999 | 69% | 180 | 171 | $3K | |
| D1110 | Prophylaxis - adult | 20% | 39 | 37 | $878.05 |
| D0272 | Bitewings - two radiographic images | 4.7% | 22 | 22 | $210.54 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.2% | 15 | 15 | $189.70 |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 12 | 12 | $100.00 |
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.