Dental
Vieyra, Rita
Vieyra, Rita was paid $98K by Medicaid between Oct 2018 and Nov 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 48% of everything it billed.
33Billing provider infoVIEYRA, RITA
GLEN COVE, NY 11542
GLEN COVE, NY 11542
33aNPI1053579813assigned 05/29/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$98K
24GClaims3,986
24DCodes billed11
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#883 of 2,184
Median peer was paid$54K
This provider vs. median1.8×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 18 | $285.00 | |
| 2019 | 341 | $7K | |
| 2020 | 663 | $13K | |
| 2021 | 823 | $21K | |
| 2022 | 726 | $19K | |
| 2023 | 839 | $21K | |
| 2024incomplete | 576 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 48% | 1,202 | 1,200 | $47K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 37% | 1,831 | 1,829 | $36K |
| D0210 | Intraoral - complete series of radiographic images | 3.7% | 95 | 93 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 3.5% | 334 | 333 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.9% | 96 | 96 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.7% | 34 | 26 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 171 | 171 | $1K |
| D0274 | Bitewings - four radiographic images | 1.2% | 58 | 58 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 69 | 69 | $737.85 |
| D9991 | <1% | 34 | 34 | $25.00 | |
| D1999 | 0% | 62 | 62 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.