Dental
Martinez, Gustavo
Martinez, Gustavo was paid $165K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 47% of everything it billed.
33Billing provider infoMARTINEZ, GUSTAVO
MANATI, PR 00674
MANATI, PR 00674
33aNPI1891832028assigned 01/30/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$165K
24GClaims8,208
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#213 of 551
Median peer was paid$99K
This provider vs. median1.7×
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 | 1,921 | $32K | |
| 2019 | 2,296 | $40K | |
| 2020 | 897 | $19K | |
| 2021 | 840 | $19K | |
| 2022 | 988 | $24K | |
| 2023 | 433 | $10K | |
| 2024incomplete | 833 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 47% | 2,932 | 2,497 | $78K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 3,472 | 2,954 | $45K |
| D7140 | Extraction, erupted tooth or exposed root | 18% | 993 | 661 | $30K |
| D1208 | Topical application of fluoride, excluding varnish | 4.8% | 575 | 475 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.0% | 194 | 162 | $3K |
| D2140 | <1% | 42 | 30 | $898.70 |
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.