Dental
Rivera Diaz, Miguel
Rivera Diaz, Miguel was paid $53K by Medicaid between Jan 2018 and Sep 2022, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoRIVERA DIAZ, MIGUEL
FAJARDO, PR 00738
FAJARDO, PR 00738
33aNPI1396804902assigned 12/08/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$53K
24GClaims2,808
24DCodes billed13
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#339 of 551
Median peer was paid$99K
This provider vs. median0.5×
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 | 1,900 | $35K | |
| 2019 | 229 | $5K | |
| 2020 | 386 | $8K | |
| 2021 | 279 | $5K | |
| 2022 | 14 | $560.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 644 | 529 | $16K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 169 | 105 | $6K |
| D2140 | 10.0% | 243 | 134 | $5K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.9% | 481 | 398 | $5K |
| D1999 | 9.8% | 348 | 334 | $5K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.2% | 265 | 192 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 6.9% | 268 | 192 | $4K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.5% | 110 | 58 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.7% | 120 | 74 | $2K |
| D0330 | Panoramic radiographic image | 2.6% | 45 | 45 | $1K |
| D0272 | Bitewings - two radiographic images | 1.7% | 62 | 62 | $883.07 |
| D0140 | Limited oral evaluation - problem focused | <1% | 38 | 25 | $458.40 |
1 more codes
| D7140 | Extraction, erupted tooth or exposed root | <1% | 15 | $336.50 |
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.