Dental
Centro Dental Pediatrico
Centro Dental Pediatrico was paid $12K by Medicaid between Jun 2021 and Nov 2024, across 6 billing codes. Its largest line is D1999, — 58% of everything it billed.
33Billing provider infoCENTRO DENTAL PEDIATRICO
FAJARDO, PR 00738
FAJARDO, PR 00738
33aNPI1881781516assigned 10/06/2006
33bProvider typePediatric Dentist
28Total paid$12K
24GClaims850
24DCodes billed6
24AFirst – last monthJun 2021 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Puerto Rico
Rank by total paid#45 of 52
Median peer was paid$121K
This provider vs. median0.1×
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 | 25 | $383.24 | |
| 2022 | 15 | $291.08 | |
| 2023 | 250 | $3K | |
| 2024incomplete | 560 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1999 | 58% | 514 | 318 | $7K | |
| D1208 | Topical application of fluoride, excluding varnish | 20% | 181 | 113 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.4% | 63 | 40 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.4% | 38 | 25 | $921.17 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.5% | 28 | 14 | $431.76 |
| D0272 | Bitewings - two radiographic images | 3.1% | 26 | 13 | $390.26 |
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 officialSANTIAGO TORRES, MARIEDALI (PEDIATRIC DOCTOR)