Rivera Ayala, Jose

Rivera Ayala, Jose was paid $189K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.

33Billing provider infoRIVERA AYALA, JOSE
VILLALBA, PR 00766

33aNPI1376629576assigned 10/31/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$189K

24GClaims9,820

24DCodes billed17

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#194 of 551

Median peer was paid$99K

This provider vs. median1.9×

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
2018	2,963	$47K
2019	792	$15K
2020	351	$7K
2021	2,278	$47K
2022	1,999	$45K
2023	735	$15K
2024incomplete	702	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	29%	2,046	1,788	$55K
D7140	Extraction, erupted tooth or exposed root	15%	850	433	$28K
D1999		13%	2,001	1,778	$25K
D0150	Comprehensive oral evaluation - new or established patient	9.0%	938	795	$17K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	8.5%	1,263	1,080	$16K
D0330	Panoramic radiographic image	4.3%	265	234	$8K
D1208	Topical application of fluoride, excluding varnish	4.0%	543	445	$8K
D2940		3.7%	320	228	$7K
D0140	Limited oral evaluation - problem focused	3.4%	389	352	$6K
D2150	Silver amalgam - two surfaces, primary or permanent	3.3%	167	107	$6K
D0220	Intraoral - periapical first radiographic image	1.8%	542	481	$3K
D1120	Dental cleaning, childProphylaxis - child	1.4%	165	146	$3K

5 more codes

D0272	Bitewings - two radiographic images	1.2%	164	$2K
D2335		1.2%	29	$2K
D2140		1.1%	100	$2K
D2160		<1%	14	$423.90
D0230	Intraoral - periapical each additional radiographic image	<1%	24	$88.20

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.