Rivera, Janet

Rivera, Janet was paid $309K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.

33Billing provider infoRIVERA, JANET
PATILLAS, PR 00723

33aNPI1225027824assigned 10/17/2005

33bProvider typeDentist

28Total paid$309K

24GClaims15,220

24DCodes billed21

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Dentist providers in Puerto Rico

Rank by total paid#63 of 284

Median peer was paid$86K

This provider vs. median3.6×

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	5,728	$109K
2019	763	$20K
2020	1,534	$31K
2021	2,875	$52K
2022	3,235	$76K
2023	290	$5K
2024incomplete	795	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	25%	2,659	2,380	$77K
D0330	Panoramic radiographic image	12%	1,203	1,038	$36K
D1999		10%	3,074	2,496	$32K
D2150	Silver amalgam - two surfaces, primary or permanent	9.4%	892	536	$29K
D0272	Bitewings - two radiographic images	8.9%	2,022	1,796	$28K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	7.7%	1,904	1,699	$24K
D0150	Comprehensive oral evaluation - new or established patient	6.0%	925	802	$18K
D2140		4.5%	583	340	$14K
D2160		4.4%	393	258	$14K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.3%	406	218	$13K
D1208	Topical application of fluoride, excluding varnish	1.7%	401	330	$5K
D7140	Extraction, erupted tooth or exposed root	1.4%	178	117	$4K

9 more codes

D2330		<1%	75	$3K
D2335		<1%	38	$3K
D2940		<1%	146	$3K
D1120	Dental cleaning, child	<1%	146	$2K
D2332		<1%	42	$2K
D2161		<1%	37	$1K
D0140	Limited oral evaluation - problem focused	<1%	58	$882.98
D9995		<1%	26	$84.00
D0220	Intraoral - periapical first radiographic image	<1%	12	$57.40

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.