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.

Clinica Dental Cdt Gmsp, Inc (NPI 1689971731)

Field	Value
Entity Type	Organization
Organization	Clinica Dental Cdt Gmsp, Inc
Address	Urb Santa Cruz
City	Bayamon
State	PR
ZIP	00961
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	February 24, 2011

Payer Source	Total Paid
Medicaid	$624.8K
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	6,570	$30	$170.9K
D1999	N/A	8,570	$10	$119.9K
D0150	Comprehensive oral evaluation – new or established patient	4,080	$20	$85.7K
D0272	N/A	5,370	$10	$75.2K
D0120	Periodic oral evaluation - established patient	3,800	$10	$53.2K
D1208	Topical application of fluoride - excluding varnish	2,380	$10	$33.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	310	$50	$16.8K
D1120	Prophylaxis–child	950	$20	$16.2K
D0220	Intraoral - periapical first radiographic image	2,010	$10	$16.1K
D0140	Limited oral evaluation – problem focused	730	$20	$11.7K

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

Clinica Dental Cdt Gmsp, Inc — 3 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	49	990	1,060	$30	$53.1K
D1999	N/A	44	950	1,350	$10	$35.1K
D0120	Periodic oral evaluation - established patient	144	940	880	$10	$24.2K
D0272	N/A	46	880	710	$10	$20.7K
D2150	Amalgam - two surfaces, primary or permanent	345	550	210	$40	$20.7K
D1351	Sealant - per tooth	133	160	440	$10	$19K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	153	410	180	$40	$18.5K
D0150	Comprehensive oral evaluation – new or established patient	21	910	540	$20	$18.1K
D1208	Topical application of fluoride - excluding varnish	111	810	500	$10	$16K
D1120	Prophylaxis–child	161	690	260	$20	$14.5K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Clinica Dental Cdt Gmsp, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nazareno Enterprises And Services LLC	PR	Prosthetic/Orthotic Supplier	$0	$23.8M
Cdt Gmsp, Inc	PR	Federally Qualified Health Center (FQHC)	$0	$4.6M
Centro Medico Del Turabo, Inc.	PR	Home Infusion Therapy Pharmacy	$0	$3.9M
Djm Imaging Center LLC	PR	Radiology Clinic/Center	$0	$3.6M
Cdt Centro De Servicios Medicos Integrados Inc.	PR	Clinical Medical Laboratory	$0	$2.3M
Cdt G.m,s.p., Inc Radiologia	PR	Federally Qualified Health Center (FQHC)	$0	$1.7M
Pro-health Clinical Services LLC	PR	Endocrinology, Diabetes & Metabolism Physician	$0	$1.6M
Edilberto Martinez	PR	Maternal & Fetal Medicine Physician	$0	$1.4M
Laboratorio Teresita	PR	Clinical Medical Laboratory	$4.8K	$1.3M
Dr Joaquin Balaguer Group Psc	PR	Podiatrist	$0	$1.2M

Clinica Dental Cdt Gmsp, Inc — Billing Profile & Reimbursement Data

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Clinica Dental Cdt Gmsp, Inc — 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