Rivera, Rafael

Rivera, Rafael was paid $12K by Medicaid between Jan 2018 and Feb 2019, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.

33Billing provider infoRIVERA, RAFAEL
CAROLINA, PR 00985

33aNPI1245444926assigned 05/10/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$12K

24GClaims801

24DCodes billed6

24AFirst – last monthJan 2018 – Feb 2019

Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#440 of 551

Median peer was paid$99K

This provider vs. median0.1×

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	783	$11K
2019	18	$266.40

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	40%	213	162	$5K
D1208	Topical application of fluoride, excluding varnish	19%	167	129	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	17%	202	150	$2K
D0272	Bitewings - two radiographic images	15%	138	98	$2K
D0150	Comprehensive oral evaluation - new or established patient	5.6%	49	43	$653.20
D1120	Dental cleaning, childProphylaxis - child	4.3%	32	32	$502.20

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.