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.

Caribe Dental Gallery (NPI 1679010755)

Field	Value
Entity Type	Organization
Organization	Caribe Dental Gallery
Address	Suite 208 Carretera #2 Km 29.7
City	Vega Alta
State	PR
ZIP	00692
Taxonomy	Dental Clinic/Center
NPI Enumerated	January 26, 2017

Payer Source	Total Paid
Medicaid	$956.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	10,690	$30	$299.3K
D1999	N/A	12,440	$20	$186.6K
D0120	Periodic oral evaluation - established patient	7,850	$20	$117.8K
D0330	N/A	3,030	$30	$94K
D0272	N/A	6,260	$20	$93.9K
D2150	Amalgam - two surfaces, primary or permanent	1,160	$40	$51.1K
D0150	Comprehensive oral evaluation – new or established patient	2,190	$20	$48.3K
D1208	Topical application of fluoride - excluding varnish	2,240	$10	$31.3K
D2140	Amalgam - one surface, primary or permanent	450	$40	$17.1K
D2160	Amalgam - three surfaces, primary or permanent	180	$50	$9.6K

Showing 1–10 of 15

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

Caribe Dental Gallery — 4 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	11	990	1,060	$30	$53.1K
D1999	N/A	13	950	1,350	$10	$35.1K
D0330	N/A	38	540	370	$30	$25.3K
D0120	Periodic oral evaluation - established patient	28	940	880	$10	$24.2K
D0272	N/A	29	880	710	$10	$20.7K
D2150	Amalgam - two surfaces, primary or permanent	77	550	210	$40	$20.7K
D0150	Comprehensive oral evaluation – new or established patient	108	910	540	$20	$18.1K
D1208	Topical application of fluoride - excluding varnish	123	810	500	$10	$16K
D0230	Intraoral - periapical each additional radiographic image	281	480	630	$10	$13.4K
D2140	Amalgam - one surface, primary or permanent	132	500	160	$30	$12.8K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Caribe Dental Gallery, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sonrisas Radiantes Dental Clinic(csp)	PR	Dental Clinic/Center	$0	$2.8M
Luis Acosta	PR	Pediatrics Physician	$0	$2.2M
Cdt Centro De Medicina Primaria De Vega Alta Corp	PR	Clinical Medical Laboratory	$0	$2M
Estudio Dental Otero Loperena LLC	PR	General Practice Dentistry	$0	$1.2M
Oficina Dental Laser Dr. Nunez, P.s.c.	PR	Dental Clinic/Center	$0	$939.5K
Vega Alta Community Health	PR	Clinical Medical Laboratory	$0	$917K
Clinica Dental Dr. Edwin Rosa, Csp	PR	Oral and Maxillofacial Surgery Clinic/Center	$0	$655.1K
Laboratorio Teresita	PR	Clinical Medical Laboratory	$0	$645K
Laboratorio Clinico Caribe Medical Plaza,inc.	PR	Clinical Medical Laboratory	$5.6K	$610.2K
Centro De Medicina Primaria Va	PR	General Practice Physician	$0	$558K

Caribe Dental Gallery — Billing Profile & Reimbursement Data

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Caribe Dental Gallery — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References