Roman, Jorge

Roman, Jorge was paid $788.15 by Medicaid between Feb 2021 and Feb 2021, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 49% of everything it billed.

33Billing provider infoROMAN, JORGE
QUEBRADILLAS, PR 00678

33aNPI1922026459assigned 07/17/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$788.15

24GClaims48

24DCodes billed3

24AFirst – last monthFeb 2021 – Feb 2021

Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#524 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	48	$788.15

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	49%	12	12	$382.80
D1999		29%	24	20	$232.16
D0272	Bitewings - two radiographic images	22%	12	12	$173.19

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.