Dental
Rivera, Antonio
Rivera, Antonio was paid $5K by Medicaid between Jun 2022 and May 2024, across 1 billing code. Its largest line is D1999, — 100% of everything it billed.
33Billing provider infoRIVERA, ANTONIO
CIDRA, PR 00739
CIDRA, PR 00739
33aNPI1205075132assigned 02/17/2009
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$5K
24GClaims193
24DCodes billed1
24AFirst – last monthJun 2022 – May 2024
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 | 67 | $2K | |
| 2023 | 89 | $2K | |
| 2024incomplete | 37 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1999 | 100% | 193 | 191 | $5K |
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.