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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMaria Umpierre Marchand
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    Maria Umpierre Marchand — Billing Profile & Reimbursement Data

    NPI 1861400392 · Vega Baja, PR · Dentist

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    Maria Umpierre Marchand is a dentist provider located in Vega Baja, Puerto Rico. This profile covers 0 Medicare and 21 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Progress1 / 7

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMaria Umpierre Marchand
    AddressPlaza Las Vegas Carr # 2 Km 39.1
    CityVega Baja
    StatePR
    ZIP00693
    TaxonomyDentist
    NPI EnumeratedAugust 3, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$1.3M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1110Prophylaxis - adult; cleaning and polishing of the teeth9,940$30$278.4K
    D1999N/A11,110$10$155.5K
    D0330N/A4,560$30$132.3K
    D2150Amalgam - two surfaces, primary or permanent3,320$40$126.2K
    D0120Periodic oral evaluation - established patient8,370$10$117.2K
    D0272N/A6,940$10$97.1K
    D0150Comprehensive oral evaluation – new or established patient3,600$20$72K
    D2160Amalgam - three surfaces, primary or permanent1,300$50$58.4K
    D1208Topical application of fluoride - excluding varnish4,070$10$56.9K
    D2140Amalgam - one surface, primary or permanent1,490$30$44.7K

    Showing 1–10 of 21

    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.

    Full comparison — all codes billed, vs. Puerto Rico median

    21 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D1110Prophylaxis - adult; cleaning and polishing of the teeth169901,060$30$53.1K
    D1999N/A199501,350$10$35.1K
    D2391Resin‑based composite – one surface, posterior356090$40$25.7K
    D0330N/A7540370$30$25.3K
    D0120Periodic oral evaluation - established patient24940880$10$24.2K
    D0272N/A20880710$10$20.7K
    D2150Amalgam - two surfaces, primary or permanent10550210$40$20.7K
    D1351Sealant - per tooth22160440$10$19K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)136410180$40$18.5K
    D0150Comprehensive oral evaluation – new or established patient32910540$20$18.1K

    Showing 1–10 of 21

    Nearby Providers

    Other providers in the same ZIP code as Maria Umpierre Marchand, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    P.r. Clinical Reference Laboratory IncPRClinical Medical Laboratory$19.4K$3.7M
    Laboratorio Clinico Del Mar LLCPRClinical Medical Laboratory$24.6K$2.6M
    Vega Baja Imaging LLCPRDiagnostic Radiology Physician$0$2M
    Mini S Steps CspPRSpeech-Language Pathologist$0$1.6M
    Vega Baja Radiology PscPRDiagnostic Radiology Physician$0$1.5M
    Prime Family Clinic LLCPRPrimary Care Clinic/Center$0$1.2M
    Laboratorio Clinico Figueroa P S CPRClinical Medical Laboratory$170$826.4K
    Prymed Medical Care IncPRClinical Medical Laboratory$0$817.9K
    Prymed Medical Care, IncPRMulti-Specialty Clinic/Center$0$785.5K
    Instituto Medico Del Norte IncPRGeneral Acute Care Hospital$0$760K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Puerto Rico Providers
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    Maria Umpierre Marchand — 9 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico