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    v1.0.28
    OpenPayerNPI Medicare & MedicaidFernando Miranda-ramirez
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    Fernando Miranda-ramirez — Billing Profile & Reimbursement Data

    NPI 1912045451 · San Lorenzo, PR · General Practice Dentistry

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    Fernando Miranda-ramirez is a general practice dentistry provider located in San Lorenzo, Puerto Rico. This profile covers 0 Medicare and 14 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
    OrganizationFernando Miranda-ramirez
    Address157 Calle Munoz Rivera S
    CitySan Lorenzo
    StatePR
    ZIP00754
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedFebruary 4, 2007

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

    Payer SourceTotal Paid
    Medicaid$1.2M
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1110Prophylaxis - adult; cleaning and polishing of the teeth9,780$30$273.8K
    D0230Intraoral - periapical each additional radiographic image9,220$20$175.1K
    D1999N/A9,570$20$143.5K
    D0120Periodic oral evaluation - established patient10,080$10$141.1K
    D0272N/A6,580$20$98.6K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)2,080$40$72.8K
    D1208Topical application of fluoride - excluding varnish4,100$10$57.4K
    D0220Intraoral - periapical first radiographic image6,690$10$46.8K
    D0150Comprehensive oral evaluation – new or established patient2,000$20$38.1K
    D1120Prophylaxis–child1,880$20$33.8K

    Showing 1–10 of 14

    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

    14 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D1110Prophylaxis - adult; cleaning and polishing of the teeth179901,060$30$53.1K
    D1999N/A339501,350$10$35.1K
    D0120Periodic oral evaluation - established patient15940880$10$24.2K
    D0272N/A23880710$10$20.7K
    D2150Amalgam - two surfaces, primary or permanent196550210$40$20.7K
    D1351Sealant - per tooth33160440$10$19K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)21410180$40$18.5K
    D0150Comprehensive oral evaluation – new or established patient126910540$20$18.1K
    D1208Topical application of fluoride - excluding varnish36810500$10$16K
    D1120Prophylaxis–child63690260$20$14.5K

    Showing 1–10 of 14

    Nearby Providers

    Other providers in the same ZIP code as Fernando Miranda-ramirez, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Centro De Imagenes SonograficasPRBody Imaging Physician$0$3.2M
    Praxis CpsPRSpeech-Language Pathologist$0$2.9M
    Laboratorio Clinico Las Antillas PscPRClinical Medical Laboratory$1.4K$1.9M
    Carmen Cermira Rivera MarcanoPRClinical Medical Laboratory$0$1M
    Javier Lee BorgesPRGeneral Practice Dentistry$0$897.3K
    Walgreen CoPRPharmacy$102.7K$0

    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
    Fernando Miranda-ramirez — 8 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico