Physician
Rodriguez, Mirella
Rodriguez, Mirella was paid $5K by Medicaid between Jul 2018 and May 2019, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 28% of everything it billed.
33Billing provider infoRODRIGUEZ, MIRELLA
PATILLAS, PR 00723
PATILLAS, PR 00723
33aNPI1962531673assigned 03/06/2007
33bProvider typeGeneral Practice Physician
28Total paid$5K
24GClaims456
24DCodes billed8
24AFirst – last monthJul 2018 – May 2019
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#494 of 1,195
Median peer was paid$2K
This provider vs. median2.4×
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 | 276 | $3K | |
| 2019 | 180 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 28% | 74 | 74 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 26% | 138 | 136 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 18% | 80 | 78 | $886.33 |
| D0272 | Bitewings - two radiographic images | 11% | 52 | 50 | $523.86 |
| D1120 | Dental cleaning, childProphylaxis - child | 8.9% | 28 | 27 | $434.70 |
| D7140 | Extraction, erupted tooth or exposed root | 3.7% | 14 | 13 | $180.00 |
| D0220 | Intraoral - periapical first radiographic image | 3.1% | 40 | 39 | $151.40 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 30 | 24 | $36.80 |
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.