Dental
Vivoni, Jorge
Vivoni, Jorge was paid $40K by Medicaid between Jan 2018 and Aug 2018, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.
33Billing provider infoVIVONI, JORGE
CIDRA, PR 00739
CIDRA, PR 00739
33aNPI1467460782assigned 08/03/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$40K
24GClaims2,481
24DCodes billed10
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#360 of 551
Median peer was paid$99K
This provider vs. median0.4×
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 | 2,481 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 26% | 440 | 425 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 15% | 394 | 312 | $6K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 13% | 192 | 115 | $5K |
| D0272 | Bitewings - two radiographic images | 10% | 306 | 300 | $4K |
| D2140 | 8.0% | 161 | 100 | $3K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.8% | 313 | 303 | $3K |
| D2160 | 7.6% | 90 | 60 | $3K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.2% | 182 | 174 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 4.4% | 318 | 310 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 2.8% | 85 | 83 | $1K |
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.