Riestra, Katherina

Riestra, Katherina was paid $17K by Medicaid between Feb 2022 and May 2022, across 12 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 71% of everything it billed.

33Billing provider infoRIESTRA, KATHERINA
POMPANO BEACH, FL 33069

33aNPI1194394205assigned 06/22/2021

33bProvider typeDentist

28Total paid$17K

24GClaims1,162

24DCodes billed12

24AFirst – last monthFeb 2022 – May 2022

Compared with peers

Next to other Dentist providers in Florida

Rank by total paid#304 of 542

Median peer was paid$25K

This provider vs. median0.7×

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
2022	1,162	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0230	Intraoral - periapical each additional radiographic image	71%	170	165	$12K
D0210	Intraoral - complete series of radiographic images	23%	79	79	$4K
D1110	Prophylaxis - adult	2.4%	102	100	$419.76
D0150	Comprehensive oral evaluation - new or established patient	1.2%	103	103	$200.64
D1120	Dental cleaning, childProphylaxis - child	<1%	17	17	$161.25
D0140	Limited oral evaluation - problem focused	<1%	15	15	$159.65
D1330		<1%	154	149	$16.95
D1208	Topical application of fluoride, excluding varnish	<1%	96	95	$16.35
D0274	Bitewings - four radiographic images	0%	130	127	$0.00
D0220	Intraoral - periapical first radiographic image	0%	172	167	$0.00
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	0%	110	108	$0.00
D1206	Topical application of fluoride varnish	0%	14	14	$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.