Dental
Rivera, Nestor
Rivera, Nestor was paid $91K by Medicaid between Jan 2018 and Sep 2020, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.
33Billing provider infoRIVERA, NESTOR
TOA ALTA, PR 00953
TOA ALTA, PR 00953
33aNPI1083642029assigned 06/29/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$91K
24GClaims5,268
24DCodes billed14
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#285 of 551
Median peer was paid$99K
This provider vs. median0.9×
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 | 2,107 | $29K | |
| 2019 | 2,789 | $53K | |
| 2020 | 372 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 25% | 999 | 882 | $22K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 14% | 409 | 174 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 682 | 588 | $10K |
| D0272 | Bitewings - two radiographic images | 10% | 704 | 640 | $9K |
| D0330 | Panoramic radiographic image | 9.0% | 351 | 308 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 7.8% | 530 | 460 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.7% | 560 | 516 | $6K |
| D2140 | 5.6% | 201 | 93 | $5K | |
| D1120 | Dental cleaning, childProphylaxis - child | 5.3% | 291 | 245 | $5K |
| D1351 | Sealant - per tooth | 1.9% | 138 | 16 | $2K |
| D2160 | 1.1% | 21 | 14 | $1K | |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 171 | 168 | $942.80 |
2 more codes
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.