Clinic
Clinica Dental Dra. Carla Fidalgo,csp
Clinica Dental Dra. Carla Fidalgo,csp was paid $521K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.
33Billing provider infoCLINICA DENTAL DRA. CARLA FIDALGO,CSP
VEGA ALTA, PR 00692
VEGA ALTA, PR 00692
33aNPI1942503792assigned 12/17/2010
33bProvider typeDental Clinic/Center
28Total paid$521K
24GClaims26,055
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Puerto Rico
Rank by total paid#14 of 81
Median peer was paid$94K
This provider vs. median5.6×
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 | 2,005 | $34K | |
| 2019 | 1,610 | $30K | |
| 2020 | 1,637 | $36K | |
| 2021 | 3,008 | $58K | |
| 2022 | 4,589 | $93K | |
| 2023 | 4,588 | $90K | |
| 2024incomplete | 8,618 | $180K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 32% | 6,022 | 4,895 | $168K |
| D1999 | 18% | 6,601 | 5,102 | $96K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 4,980 | 3,981 | $71K |
| D0272 | Bitewings - two radiographic images | 9.6% | 3,438 | 2,830 | $50K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 8.1% | 1,055 | 620 | $42K |
| D0330 | Panoramic radiographic image | 6.9% | 1,198 | 969 | $36K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 1,206 | 1,091 | $27K |
| D1208 | Topical application of fluoride, excluding varnish | 2.9% | 1,063 | 874 | $15K |
| D2160 | 1.3% | 178 | 149 | $7K | |
| D2140 | 1.3% | 210 | 121 | $7K | |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 104 | 89 | $2K |
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.
From NPPES
Who's on the registration
Authorized officialFIDALGO, CARLA (DENTIST)