Dental
Rivera, Alejandra
Rivera, Alejandra was paid $366K by Medicaid between Jan 2018 and Aug 2018, across 26 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 36% of everything it billed.
33Billing provider infoRIVERA, ALEJANDRA
TAMPA, FL 33626
TAMPA, FL 33626
33aNPI1487181541assigned 05/18/2017
33bProvider typePediatric Dentist
28Total paid$366K
24GClaims7,957
24DCodes billed26
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers
Next to other Pediatric Dentist providers in Florida
Rank by total paid#77 of 246
Median peer was paid$107K
This provider vs. median3.4×
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 | 7,957 | $366K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 36% | 659 | 201 | $131K |
| D1351 | Sealant - per tooth | 7.6% | 752 | 247 | $28K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.3% | 193 | 107 | $23K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.3% | 493 | 489 | $23K |
| D7140 | Extraction, erupted tooth or exposed root | 6.0% | 201 | 110 | $22K |
| D9420 | 5.9% | 99 | 99 | $22K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.5% | 128 | 82 | $20K |
| D1206 | Topical application of fluoride varnish | 5.4% | 724 | 710 | $20K |
| D2940 | 5.3% | 236 | 95 | $19K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.2% | 357 | 322 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.8% | 420 | 415 | $14K |
| D0272 | Bitewings - two radiographic images | 2.2% | 248 | 247 | $8K |
14 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 139 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 209 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 53 | $3K |
| D2330 | <1% | 30 | $3K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 148 | $2K |
| D0240 | <1% | 36 | $904.64 | |
| D1310 | 0% | 369 | $0.00 | |
| D1330 | 0% | 578 | $0.00 | |
| D0603 | 0% | 433 | $0.00 | |
| D9310 | 0% | 51 | $0.00 | |
| D3120 | 0% | 20 | $0.00 | |
| D9430 | 0% | 72 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 153 | $0.00 |
| D1354 | 0% | 1,156 | $0.00 |
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.