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.

Dentistas Asociados Del Norte (NPI 1376530840)

Field	Value
Entity Type	Organization
Organization	Dentistas Asociados Del Norte
Address	Atenas Tirado Gracia
City	Manati
State	PR
ZIP	00674
Taxonomy	General Practice Dentistry
NPI Enumerated	September 30, 2005

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.

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	23,160	$30	$602.2K
D0230	Intraoral - periapical each additional radiographic image	68,090	$10	$408.6K
D1999	N/A	23,650	$20	$354.7K
D0120	Periodic oral evaluation - established patient	18,450	$10	$239.8K
D0272	N/A	17,080	$10	$239.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	4,690	$40	$206.4K
D0150	Comprehensive oral evaluation – new or established patient	9,940	$20	$188.9K
D2150	Amalgam - two surfaces, primary or permanent	3,510	$40	$133.5K
D0220	Intraoral - periapical first radiographic image	18,840	$10	$131.9K
D1208	Topical application of fluoride - excluding varnish	9,000	$10	$126.1K

Showing 1–10 of 22

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

Dentistas Asociados Del Norte — 11 of 22 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7230	N/A	8	20	270	$150	$117.6K
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…	19	100	150	$80	$83K
D7220	N/A	5	10	180	$120	$56.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1	990	1,060	$30	$53.1K
D1999	N/A	3	950	1,350	$10	$35.1K
D0120	Periodic oral evaluation - established patient	3	940	880	$10	$24.2K
D0272	N/A	1	880	710	$10	$20.7K
D2150	Amalgam - two surfaces, primary or permanent	9	550	210	$40	$20.7K
D1351	Sealant - per tooth	11	160	440	$10	$19K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	3	410	180	$40	$18.5K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Dentistas Asociados Del Norte, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Pathology Csp	PR	Clinical Medical Laboratory	$0	$16.9M
Pci Group LLC	PR	Interventional Cardiology Physician	$0	$9.6M
Centro Cardiovascular De Manati Iii Csp	PR	Cardiovascular Disease Physician	$0	$5.7M
Anestesia Del Norte P.s.c.	PR	Specialist	$0	$5M
Mogic Ob-gyn Psc	PR	Obstetrics & Gynecology Physician	$0	$4.9M
Dorado Health Inc	PR	General Acute Care Hospital	$0	$3.7M
Crilomil Corp.	PR	Pediatric Dentistry	$0	$2.8M
Hospitalist Medical Services, Psc	PR	Anesthesiology Physician	$0	$2.7M
Atlantic Pathology	PR	Clinical Medical Laboratory	$0	$2.5M
Centro Imagenes Manati Yvf Psc	PR	Diagnostic Radiology Physician	$0	$2.3M

Dentistas Asociados Del Norte — Billing Profile & Reimbursement Data

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Dentistas Asociados Del Norte — Billing Profile & Reimbursement Data

Sign up for Dentistas Asociados Del Norte — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References