Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

RIVERA, RAFAEL

NPI: 1245444926 · CAROLINA, PR 00985 · General Practice Dentistry · NPI assigned 05/10/2007

$12K
Total Medicaid Paid
801
Total Claims
614
Beneficiaries
6
Codes Billed
2018-01
First Month
2019-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 783 $11K
2019 18 $266.40

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 213 162 $5K
D1208 Topical application of fluoride, excluding varnish 167 129 $2K
D0120 Periodic oral evaluation - established patient 202 150 $2K
D0272 Bitewings - two radiographic images 138 98 $2K
D0150 Comprehensive oral evaluation - new or established patient 49 43 $653.20
D1120 Prophylaxis - child 32 32 $502.20