Dental
Rodriguez, Mario
Rodriguez, Mario was paid $154K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 36% of everything it billed.
33Billing provider infoRODRIGUEZ, MARIO
GUAYNABO, PR 00966
GUAYNABO, PR 00966
33aNPI1912015645assigned 08/25/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$154K
24GClaims8,567
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#221 of 551
Median peer was paid$99K
This provider vs. median1.6×
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 | 1,180 | $19K | |
| 2019 | 1,042 | $19K | |
| 2020 | 548 | $11K | |
| 2021 | 1,500 | $26K | |
| 2022 | 1,180 | $22K | |
| 2023 | 1,383 | $24K | |
| 2024incomplete | 1,734 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 36% | 2,073 | 1,954 | $55K |
| D1999 | 25% | 2,635 | 2,267 | $38K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 1,732 | 1,643 | $23K |
| D0272 | Bitewings - two radiographic images | 12% | 1,249 | 1,177 | $18K |
| D0330 | Panoramic radiographic image | 9.6% | 520 | 505 | $15K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.2% | 64 | 54 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 188 | 173 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 56 | 55 | $763.40 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 38 | 38 | $514.13 |
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | 12 | $169.85 |
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.