Santos, Jose

Santos, Jose was paid $33K by Medicaid between Jan 2018 and Feb 2020, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.

33Billing provider infoSANTOS, JOSE
ARECIBO, PR 00612

33aNPI1891895082assigned 09/25/2006

33bProvider typeDentist

28Total paid$33K

24GClaims1,734

24DCodes billed10

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other Dentist providers in Puerto Rico

Rank by total paid#189 of 284

Median peer was paid$86K

This provider vs. median0.4×

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	620	$11K
2019	944	$19K
2020	170	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	32%	474	406	$11K
D0330	Panoramic radiographic image	18%	232	189	$6K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	10%	313	277	$3K
D2150	Silver amalgam - two surfaces, primary or permanent	9.2%	110	51	$3K
D0150	Comprehensive oral evaluation - new or established patient	7.6%	146	130	$3K
D2140		7.2%	103	50	$2K
D0272	Bitewings - two radiographic images	6.6%	169	151	$2K
D1208	Topical application of fluoride, excluding varnish	4.3%	108	95	$1K
D7140	Extraction, erupted tooth or exposed root	3.7%	48	28	$1K
D1120	Dental cleaning, childProphylaxis - child	1.5%	31	31	$512.40

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.