Dental
NPI deactivated
De Jesus Rivera, Zully
De Jesus Rivera, Zully was paid $95K by Medicaid between Jan 2018 and Aug 2019, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.
33Billing provider infoDE JESUS RIVERA, ZULLY
MAYAGUEZ, PR 00680
MAYAGUEZ, PR 00680
33aNPI1366586638assigned 02/19/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$95K
24GClaims8,480
24DCodes billed11
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#282 of 551
Median peer was paid$99K
This provider vs. median1.0×
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 | 5,085 | $51K | |
| 2019 | 3,395 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 25% | 1,082 | 1,012 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 985 | 913 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 2,799 | 609 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 737 | 685 | $10K |
| D0272 | Bitewings - two radiographic images | 10% | 699 | 638 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.4% | 602 | 563 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.0% | 521 | 481 | $9K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 8.2% | 291 | 181 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 4.2% | 722 | 655 | $4K |
| D2160 | <1% | 15 | 12 | $762.30 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 27 | 26 | $393.84 |
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.