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    OpenPayerNPI Medicare & MedicaidEdda Bautista Perez
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    Edda Bautista Perez — Billing Profile & Reimbursement Data

    NPI 1043218183 · Juncos, PR · General Practice Dentistry

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    Edda Bautista Perez is a general practice dentistry provider located in Juncos, Puerto Rico. This profile covers 0 Medicare and 14 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Progress1 / 7

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationEdda Bautista Perez
    AddressCalle Munoz Rivera #65
    CityJuncos
    StatePR
    ZIP00777
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedJuly 12, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$751.8K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1110Prophylaxis - adult; cleaning and polishing of the teeth5,890$30$164.9K
    D0230Intraoral - periapical each additional radiographic image5,000$20$110.1K
    D0120Periodic oral evaluation - established patient6,050$10$78.7K
    D1999N/A5,300$10$68.9K
    D2140Amalgam - one surface, primary or permanent1,940$30$58.2K
    D0272N/A3,660$10$51.3K
    D1208Topical application of fluoride - excluding varnish3,640$10$51K
    D2150Amalgam - two surfaces, primary or permanent1,200$40$44.4K
    D1120Prophylaxis–child2,170$20$41.2K
    D0150Comprehensive oral evaluation – new or established patient2,020$20$38.3K

    Showing 1–10 of 14

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Puerto Rico providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Puerto Rico median

    14 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D1110Prophylaxis - adult; cleaning and polishing of the teeth689901,060$30$53.1K
    D1999N/A1249501,350$10$35.1K
    D0120Periodic oral evaluation - established patient53940880$10$24.2K
    D0272N/A95880710$10$20.7K
    D2150Amalgam - two surfaces, primary or permanent71550210$40$20.7K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)135410180$40$18.5K
    D0150Comprehensive oral evaluation – new or established patient123910540$20$18.1K
    D1208Topical application of fluoride - excluding varnish47810500$10$16K
    D1120Prophylaxis–child53690260$20$14.5K
    D0230Intraoral - periapical each additional radiographic image50480630$10$13.4K

    Showing 1–10 of 14

    Nearby Providers

    Other providers in the same ZIP code as Edda Bautista Perez, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jose Carlos Flores SantiagoPRClinical Medical Laboratory$16.4K$9.5M
    Frenchys Ambulance IncPRLand Ambulance$66.6K$2.8M
    Instituto De Fisiatria Y Medicina Deportiva Del Este, IncPRRehabilitation Clinic/Center$0$1.8M
    Carmen Cermira Rivera MarcanoPRClinical Medical Laboratory$0$734.8K
    Victorias Advanced Life Support CorpPRLand Ambulance$4.9K$667K
    Ricardo Calderon OrtizPRNephrology Physician$32.9K$553.4K
    Walgreen CoPRPharmacy$95.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Puerto Rico Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    Edda Bautista Perez — 2 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico