Dental
Melissa Rivera DDS PA
Melissa Rivera DDS PA was paid $1.34M by Medicaid between Oct 2020 and Dec 2024, across 17 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.
33Billing provider infoMELISSA RIVERA DDS PA
SAN JUAN, TX 78589
SAN JUAN, TX 78589
33aNPI1093044539assigned 12/11/2009
33bProvider typeDentist
28Total paid$1.34M
24GClaims48,789
24DCodes billed17
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#153 of 1,678
Median peer was paid$35K
This provider vs. median39×
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 | |
|---|---|---|---|
| 2020 | 1,347 | $35K | |
| 2021 | 12,503 | $354K | |
| 2022 | 13,767 | $395K | |
| 2023 | 11,563 | $324K | |
| 2024incomplete | 9,609 | $231K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19% | 2,842 | 1,740 | $258K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 7,179 | 6,887 | $195K |
| D1110 | Prophylaxis - adult | 15% | 3,812 | 3,657 | $195K |
| D0274 | Bitewings - four radiographic images | 11% | 4,730 | 4,528 | $150K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.1% | 3,551 | 3,410 | $122K |
| D1206 | Topical application of fluoride varnish | 7.4% | 7,196 | 6,904 | $100K |
| D1351 | Sealant - per tooth | 7.2% | 3,846 | 751 | $96K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.7% | 3,067 | 2,564 | $77K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.2% | 775 | 580 | $57K |
| D0272 | Bitewings - two radiographic images | 3.5% | 2,180 | 2,090 | $47K |
| D0145 | Oral evaluation for a patient under three years of age | 1.3% | 132 | 129 | $17K |
| D0330 | Panoramic radiographic image | <1% | 316 | 294 | $9K |
5 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.
From NPPES
Who's on the registration
Authorized officialRIVERA, MELISSA (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Laboratorio Clinico Caimito INC | San Juan, PR | $72K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.