Rivera Davila, Brenda

Rivera Davila, Brenda was paid $114K by Medicaid between Jan 2018 and Feb 2020, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.

33Billing provider infoRIVERA DAVILA, BRENDA
LUQUILLO, PR 00773

33aNPI1114060217assigned 02/15/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$114K

24GClaims6,472

24DCodes billed11

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#253 of 551

Median peer was paid$99K

This provider vs. median1.2×

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	3,653	$60K
2019	2,740	$52K
2020	79	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	31%	1,537	1,212	$35K
D0210	Intraoral - complete series of radiographic images	22%	655	530	$25K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	1,294	1,010	$14K
D0150	Comprehensive oral evaluation - new or established patient	9.3%	711	559	$11K
D1208	Topical application of fluoride, excluding varnish	8.8%	736	554	$10K
D0272	Bitewings - two radiographic images	7.6%	642	507	$9K
D1120	Dental cleaning, childProphylaxis - child	5.1%	359	272	$6K
D2150	Silver amalgam - two surfaces, primary or permanent	1.8%	78	64	$2K
D0230	Intraoral - periapical each additional radiographic image	1.3%	379	204	$2K
D2140		1.3%	69	53	$1K
D0220	Intraoral - periapical first radiographic image	<1%	12	12	$59.40

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.