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.

Grupo Dental Pediatrico San Juan Csp (NPI 1700299104)

Field	Value
Entity Type	Organization
Organization	Grupo Dental Pediatrico San Juan Csp
Address	576 Ave Cesar Gonzalez Suite 307
City	San Juan
State	PR
ZIP	00918
Taxonomy	Pediatric Dentistry
NPI Enumerated	June 4, 2014

Payer Source	Total Paid
Medicaid	$710.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1999	N/A	8,700	$20	$130.5K
D1120	Prophylaxis–child	6,720	$20	$127.7K
D1208	Topical application of fluoride - excluding varnish	9,030	$10	$126.5K
D0120	Periodic oral evaluation - established patient	6,620	$10	$92.7K
D0272	N/A	3,770	$10	$52.8K
D1351	Sealant - per tooth	2,880	$20	$43.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,300	$30	$37.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	810	$40	$30.6K
D2150	Amalgam - two surfaces, primary or permanent	800	$40	$28.8K
D0150	Comprehensive oral evaluation – new or established patient	1,310	$20	$26.2K

Showing 1–10 of 13

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

Grupo Dental Pediatrico San Juan Csp — 4 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	457	990	1,060	$30	$53.1K
D1999	N/A	41	950	1,350	$10	$35.1K
D0330	N/A	341	540	370	$30	$25.3K
D0120	Periodic oral evaluation - established patient	40	940	880	$10	$24.2K
D0272	N/A	88	880	710	$10	$20.7K
D2150	Amalgam - two surfaces, primary or permanent	119	550	210	$40	$20.7K
D1351	Sealant - per tooth	21	160	440	$10	$19K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	72	410	180	$40	$18.5K
D0150	Comprehensive oral evaluation – new or established patient	226	910	540	$20	$18.1K
D1208	Topical application of fluoride - excluding varnish	7	810	500	$10	$16K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Grupo Dental Pediatrico San Juan Csp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratorio De Patologia Dr Noy	PR	Anatomic Pathology Physician	$0	$45.7M
Hato Rey Pathology Associates Inc	PR	Clinical Medical Laboratory	$58.5K	$42M
Home Orthopedics Corp	PR	Prosthetic/Orthotic Supplier	$0	$20.7M
Orthobone, Inc	PR	Customized Equipment (DME)	$0	$15.5M
Smith & Nephew Inc.	PR	Prosthetic/Orthotic Supplier	$0	$12M
Laboratorio Clinico Noy Inc	PR	Clinical Medical Laboratory	$76.1K	$9.9M
Servicios Radiologicos Asociados Jorge Perez Brais	PR	Diagnostic Radiology Physician	$0	$2.9M
Luis Torres Vera	PR	Allergy Physician	$21.5K	$2.7M
Inspira Psychiatric Services Psc	PR	Adult Mental Health Clinic/Center	$0	$2.5M
Frankie Alvarado	PR	Pulmonary Disease Physician	$7.3K	$2.4M

Grupo Dental Pediatrico San Juan Csp — Billing Profile & Reimbursement Data

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Grupo Dental Pediatrico San Juan Csp — Billing Profile & Reimbursement Data

Sign up for Grupo Dental Pediatrico San Juan Csp — 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