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.

Juan Ledoux (NPI 1740246750)

Field	Value
Entity Type	Individual
Organization	Juan Ledoux
Address	208-18 Calle 510
City	Carolina
State	PR
ZIP	00985
Taxonomy	General Practice Dentistry
NPI Enumerated	April 26, 2006

Payer Source	Total Paid
Medicaid	$968K
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,880	$30	$147K
D2140	Amalgam - one surface, primary or permanent	4,050	$30	$125.6K
D2150	Amalgam - two surfaces, primary or permanent	2,480	$40	$96.6K
D1999	N/A	5,580	$20	$83.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,700	$40	$67.9K
D0120	Periodic oral evaluation - established patient	5,040	$10	$65.6K
D0272	N/A	4,280	$10	$59.9K
D0230	Intraoral - periapical each additional radiographic image	9,790	$10	$58.7K
D0150	Comprehensive oral evaluation – new or established patient	2,710	$20	$54.2K
D1351	Sealant - per tooth	3,290	$10	$46.1K

Showing 1–10 of 19

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

Juan Ledoux — 3 of 19 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	70	990	1,060	$30	$53.1K
D1999	N/A	113	950	1,350	$10	$35.1K
D2391	Resin‑based composite – one surface, posterior	11	60	90	$40	$25.7K
D0120	Periodic oral evaluation - established patient	82	940	880	$10	$24.2K
D2332	N/A	24	30	40	$60	$22.9K
D0272	N/A	73	880	710	$10	$20.7K
D2150	Amalgam - two surfaces, primary or permanent	19	550	210	$40	$20.7K
D1351	Sealant - per tooth	16	160	440	$10	$19K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	27	410	180	$40	$18.5K
D0150	Comprehensive oral evaluation – new or established patient	66	910	540	$20	$18.1K

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as Juan Ledoux, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Instituto De Ojos Y Piel, Inc	PR	Optometrist	$0	$3.2M
Clinical Medical Services Inc	PR	Durable Medical Equipment & Medical Supplies	$0	$2.4M
Health Laboratories Services Inc	PR	Clinical Medical Laboratory	$28.3K	$2.3M
Ada Colon-gavillan	PR	Physical Therapy Clinic/Center	$0	$1.4M
Pedro Rivera Caballero	PR	General Practice Physician	$3.1K	$1.3M
Rivera-revilla Lab LLC	PR	Clinical Medical Laboratory	$4K	$1.3M
Centro Radiodiagnostico Carolina	PR	Diagnostic Radiology Physician	$0	$1.2M
Family Medicine Group Inc.	PR	Adult Medicine Physician	$0	$1.1M
Milab LLC	PR	Clinical Medical Laboratory	$1.9K	$889.3K
Inspira Behavioral Care Corp.	PR	Adult Mental Health Clinic/Center	$0	$789.3K

Juan Ledoux — Billing Profile & Reimbursement Data

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Juan Ledoux — 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