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.

Alameda Prosthodontic Services, Psc (NPI 1346434123)

Field	Value
Entity Type	Organization
Organization	Alameda Prosthodontic Services, Psc
Address	27 Calle Dr Nelson Perea
City	Mayaguez
State	PR
ZIP	00680
Taxonomy	Prosthodontics
NPI Enumerated	September 5, 2007

Payer Source	Total Paid
Medicaid	$3.9M
Medicare	$0

Key Findings

ALAMEDA PROSTHODONTIC SERVICES, PSC shows effectively single‑payer activity: there is no Medicare billing on file while total Medicaid revenue is $3.9M, indicating the provider's revenue footprint in these datasets is entirely driven by Medicaid patients and programs. Analysts should treat this profile as Medicaid‑centric when evaluating payer mix and network impact.

Revenue is concentrated in a small set of restorative and preventive codes: the precomputed top three Medicaid codes (D2150, D2140, D1110) account for 39.0% of the provider's Medicaid revenue. Individually these are D2150 ($568.1K, 14.4%), D2140 ($559K, 14.2%), and D1110 ($410.5K, 10.4%), which together underscore that a minority of procedures generate a large share of revenue.

The code mix is dominated by high‑volume restorative and routine preventive services rather than specialty prosthodontic-only procedures: top billed codes include amalgam restorations (D2150, D2140, D2160), composite restorations (D2391, D2330), and prophylaxis (D1110). This pattern suggests the practice operates as a high‑throughput general restorative/preventive dental provider within Medicaid, even though the taxonomy is Prosthodontics.

Competitive standing within the state is unusually strong for multiple high‑volume codes: the provider ranks #1 in‑state for D2150 (14.4% share; 100th percentile; extreme outlier) and D2140 (14.2% share; 100th percentile; extreme outlier), and also ranks #1 for other composite/amalgam codes (e.g., D2330, D2160). These rank/percentile signals indicate the provider is a dominant statewide source of these specific services and is far above typical state volume for those codes.

The practice demonstrates very high procedural volumes for diagnostic and routine evaluation codes, consistent with heavy patient throughput: for example D0230 shows 20.3K claims and $142K revenue (ranks #3 of 481 providers; 100th percentile; extreme outlier) and D0120 shows 13K claims and $181.5K revenue (ranks #8 of 942 providers; 99th percentile; extreme outlier). Such volumes support a business model focused on frequent, episodic visits and high patient turnover.

There is notable reliance on unlisted or unspecified codes: D1999 appears with 16.6K claims and $249.3K revenue and ranks #7 of 953 providers (99th percentile; extreme outlier), while several other less‑described codes (e.g., entries labeled ‘no description available’) also appear among top revenue lines. The frequent use of these unspecified codes merits closer operational review for case mix and billing practices, though it does not imply any impropriety.

Other restorative codes beyond the top three also contribute meaningful volume and reinforce a full‑service restorative profile: D2391 (8.6K claims, $370.8K; ranks #2 of 62; 98th percentile; extreme outlier) and D2330 (7.1K claims, $248.5K; ranks #1 of 94; 100th percentile; extreme outlier) both rank at the top of state peers. This spread across posterior and anterior restorative codes indicates capability to deliver a broad set of fillings and restorations to Medicaid beneficiaries.

The provider has long tenure in the NPI registry, with enumeration on 2007-09-05 (~19 years ago), reflecting an established presence in the market and a prolonged relationship with Medicaid payers and beneficiaries. That longevity, combined with the dominant state rankings, suggests entrenched operational scale in the provider's service area.

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2150	Amalgam - two surfaces, primary or permanent	14,200	$40	$568.1K
D2140	Amalgam - one surface, primary or permanent	18,030	$30	$559K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	15,210	$30	$410.5K
D2391	Resin‑based composite – one surface, posterior	8,620	$40	$370.8K
D2332	N/A	4,350	$60	$273.9K
D1999	N/A	16,620	$20	$249.3K
D2330	Resin-based composite - one surface, anterior	7,100	$40	$248.5K
D0120	Periodic oral evaluation - established patient	12,970	$10	$181.5K
D0272	N/A	10,640	$10	$149K
D0230	Intraoral - periapical each additional radiographic image	20,290	$10	$142K

Showing 1–10 of 23

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

Alameda Prosthodontic Services, Psc — 18 of 23 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5	990	1,060	$30	$53.1K
D1999	N/A	7	950	1,350	$10	$35.1K
D2391	Resin‑based composite – one surface, posterior	2	60	90	$40	$25.7K
D0330	N/A	9	540	370	$30	$25.3K
D0120	Periodic oral evaluation - established patient	8	940	880	$10	$24.2K
D2332	N/A	1	30	40	$60	$22.9K
D0272	N/A	6	880	710	$10	$20.7K
D2150	Amalgam - two surfaces, primary or permanent	1	550	210	$40	$20.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	18	410	180	$40	$18.5K
D0150	Comprehensive oral evaluation – new or established patient	3	910	540	$20	$18.1K

Showing 1–10 of 23

Nearby Providers

Other providers in the same ZIP code as Alameda Prosthodontic Services, Psc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Metro Mayaguez Inc	PR	General Acute Care Hospital	$0	$4.9M
Migrant Health Center Western Region,inc	PR	Clinical Medical Laboratory	$5.2K	$4.8M
Oscar Muniz	PR	Oral and Maxillofacial Pathology Dentistry	$0	$3.5M
Juan Garcia	PR	Oral and Maxillofacial Surgery (Dentist)	$0	$2.9M
Migrant Health Center Western Region,inc	PR	Federally Qualified Health Center (FQHC)	$0	$2.4M
Centro Neumologico Del Oeste	PR	Pulmonary Disease Physician	$0	$2.2M
Lynette Baez Torres	PR	Ophthalmology Physician	$0	$1.9M
Laboratorio Clinico Irizarry Guasch Inc	PR	Clinical Medical Laboratory	$0	$1.6M
Jesus Romero Perez	PR	Diagnostic Radiology Physician	$8.1K	$1.4M
Laboratorio Clinico Irizarry Guasch Inc	PR	Clinical Medical Laboratory	$164.2K	$1.2M

Alameda Prosthodontic Services, Psc — Billing Profile & Reimbursement Data

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Alameda Prosthodontic Services, Psc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References