Dental
Rivera, Damaris
Rivera, Damaris was paid $90K by Medicaid between Aug 2019 and Oct 2023, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.
33Billing provider infoRIVERA, DAMARIS
LAS MARIAS, PR 00670
LAS MARIAS, PR 00670
33aNPI1255487377assigned 01/25/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$90K
24GClaims5,247
24DCodes billed13
24AFirst – last monthAug 2019 – Oct 2023
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#286 of 551
Median peer was paid$99K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2019 | 450 | $12K | |
| 2020 | 62 | $1K | |
| 2021 | 1,556 | $23K | |
| 2022 | 399 | $6K | |
| 2023 | 2,780 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 23% | 780 | 750 | $20K |
| D1999 | 17% | 1,123 | 1,067 | $16K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 695 | 671 | $10K |
| D0330 | Panoramic radiographic image | 11% | 352 | 341 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.3% | 901 | 574 | $7K |
| D0272 | Bitewings - two radiographic images | 8.3% | 514 | 500 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.8% | 277 | 265 | $6K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.1% | 105 | 85 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 2.5% | 159 | 154 | $2K |
| D2160 | 2.0% | 36 | 19 | $2K | |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 211 | 202 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.6% | 76 | 74 | $1K |
1 more codes
| D2140 | <1% | 18 | $589.39 |
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.