Medicaid Provider Spending

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

RIVERA, LLISENIA

NPI: 1386837805 · BRONX, NY 10457 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 08/20/2007

$158K
Total Medicaid Paid
3,080
Total Claims
2,554
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 655 $34K
2019 569 $29K
2020 164 $9K
2022 365 $18K
2023 421 $21K
2024 906 $47K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 1,339 813 $96K
D0330 Panoramic radiographic image 911 911 $28K
D9310 483 483 $24K
D0150 Comprehensive oral evaluation - new or established patient 179 179 $4K
D9243 25 25 $2K
D9239 25 25 $2K
D0140 Limited oral evaluation - problem focused 118 118 $2K