Dental
Matanzo Vicens, Ramon
Matanzo Vicens, Ramon was paid $174K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is D1110, Prophylaxis - adult — 19% of everything it billed.
33Billing provider infoMATANZO VICENS, RAMON
NAGUABO, PR 00718
NAGUABO, PR 00718
33aNPI1962411819assigned 08/07/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$174K
24GClaims7,174
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#207 of 551
Median peer was paid$99K
This provider vs. median1.8×
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 | 132 | $2K | |
| 2024incomplete | 7,042 | $172K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 19% | 884 | 472 | $33K |
| D2140 | 9.9% | 444 | 107 | $17K | |
| D1999 | 9.4% | 1,124 | 511 | $16K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.3% | 792 | 422 | $13K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.4% | 234 | 83 | $11K |
| D7140 | Extraction, erupted tooth or exposed root | 6.1% | 150 | 63 | $11K |
| D0272 | Bitewings - two radiographic images | 5.2% | 539 | 271 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.6% | 327 | 171 | $8K |
| D1351 | Sealant - per tooth | 4.6% | 476 | 40 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.4% | 160 | 26 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 3.8% | 456 | 238 | $7K |
| D2330 | 3.7% | 152 | 28 | $6K |
8 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 612 | $5K |
| D1120 | Dental cleaning, child | 2.8% | 215 | $5K |
| D2160 | 2.8% | 82 | $5K | |
| D2331 | 2.4% | 79 | $4K | |
| D2335 | 2.0% | 50 | $4K | |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 339 | $3K |
| D2940 | <1% | 33 | $906.25 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 26 | $546.00 |
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.