Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Puerto Rico for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Puerto Rico only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Puerto Rico (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Four Molar Psc (NPI 1164814042)

Field	Value
Entity Type	Organization
Organization	Four Molar Psc
Address	429 Calle Rey Luis
City	Guaynabo
State	PR
ZIP	00969
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	March 2, 2015

Payer Source	Total Paid
Medicaid	$3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7240	N/A	4,050	$180	$725K
D7230	N/A	4,160	$160	$673.3K
D9223	N/A	3,300	$190	$622.8K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	5,190	$80	$420.2K
D0160	N/A	7,550	$40	$271.7K
D7220	N/A	930	$150	$137.5K
D0330	N/A	1,650	$30	$52.7K
D1999	N/A	2,150	$20	$34.3K
D7250	N/A	410	$70	$27.2K
D9222	N/A	190	$100	$19.1K

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.

Claims Volume vs. Puerto Rico Distribution

Four Molar Psc — 3 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Puerto Rico

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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	7	30	980	$170	$378.3K
D7230	N/A	1	20	270	$150	$117.6K
D9223	N/A	4	40	120	$110	$98.2K
D9222	N/A	17	30	300	$110	$97.4K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	5	100	150	$80	$83K
D0160	N/A	3	60	330	$40	$60.4K
D7220	N/A	2	10	180	$120	$56.8K
D1999	N/A	362	950	1,350	$10	$35.1K
D0330	N/A	103	540	370	$30	$25.3K
D7250	N/A	7	30	160	$60	$14.2K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Four Molar Psc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Efrain Montanez Morales	PR	Oral and Maxillofacial Surgery (Dentist)	$0	$670.7K

Nearby Providers

Other providers in the same ZIP code as Four Molar Psc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elderly Transportation Services, LLC	PR	Transportation Broker	$0	$25.7M
Rmc Orthopedic & Surgical, Inc.	PR	Prosthetic/Orthotic Supplier	$0	$7.5M
Surgical Solutions-j.a. Puerto Rico, Inc	PR	Durable Medical Equipment & Medical Supplies	$0	$7.1M
Bless Therapy Place Psc	PR	Hearing and Speech Clinic/Center	$0	$3.7M
Elderly Transportation Services Management LLC	PR	Transportation Broker	$0	$3.4M
Osvaldo Niebla Diaz	PR	General Practice Physician	$2.9K	$3.1M
Ccs Psc	PR	Cardiovascular Disease Physician	$0	$2.3M
Johnson & Johnson Medical Caribbean	PR	Prosthetic/Orthotic Supplier	$0	$2.2M
J.e.r.i. Cardiomed, P.s.c.	PR	Cardiovascular Disease Physician	$0	$1.1M
Rs Gastroenterology, LLC	PR	Gastroenterology Physician	$0	$896.6K

Four Molar Psc — Billing Profile & Reimbursement Data

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Four Molar Psc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References