Dental
Santiago Martinez, Heriberto
Santiago Martinez, Heriberto was paid $106K by Medicaid between Jan 2018 and Jun 2022, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.
33Billing provider infoSANTIAGO MARTINEZ, HERIBERTO
GUAYAMA, PR 00784
GUAYAMA, PR 00784
33aNPI1922094150assigned 09/22/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$106K
24GClaims6,010
24DCodes billed14
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#269 of 551
Median peer was paid$99K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2018 | 3,193 | $51K | |
| 2020 | 1,210 | $25K | |
| 2021 | 1,133 | $21K | |
| 2022 | 474 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 26% | 1,165 | 1,001 | $27K |
| D0330 | Panoramic radiographic image | 15% | 635 | 545 | $15K |
| D1999 | 14% | 881 | 790 | $15K | |
| D0272 | Bitewings - two radiographic images | 12% | 938 | 818 | $13K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.1% | 847 | 731 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.0% | 501 | 430 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 5.1% | 409 | 353 | $5K |
| D0140 | Limited oral evaluation - problem focused | 3.3% | 207 | 182 | $3K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.4% | 106 | 76 | $3K |
| D2140 | 2.2% | 113 | 73 | $2K | |
| D1120 | Dental cleaning, childProphylaxis - child | 2.2% | 149 | 135 | $2K |
| D2330 | <1% | 20 | 15 | $446.00 |
2 more codes
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.