Dental
Lopez Rivera, Teodoro
Lopez Rivera, Teodoro was paid $182K by Medicaid between Jan 2018 and Dec 2019, across 14 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 13% of everything it billed.
33Billing provider infoLOPEZ RIVERA, TEODORO
PONCE, PR 00730
PONCE, PR 00730
33aNPI1487650164assigned 06/27/2005
33bProvider typePediatric Dentist
28Total paid$182K
24GClaims11,722
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Pediatric Dentist providers in Puerto Rico
Rank by total paid#23 of 52
Median peer was paid$121K
This provider vs. median1.5×
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 | 4,819 | $72K | |
| 2019 | 6,903 | $110K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 13% | 1,775 | 1,369 | $23K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 13% | 854 | 431 | $23K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 1,353 | 1,020 | $21K |
| D0272 | Bitewings - two radiographic images | 11% | 1,629 | 1,256 | $21K |
| D7140 | Extraction, erupted tooth or exposed root | 9.8% | 699 | 394 | $18K |
| D0330 | Panoramic radiographic image | 9.4% | 720 | 513 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.6% | 1,317 | 1,112 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.9% | 901 | 591 | $13K |
| D1110 | Prophylaxis - adult | 4.9% | 388 | 324 | $9K |
| D2140 | 4.2% | 370 | 207 | $8K | |
| D2940 | 4.0% | 379 | 200 | $7K | |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 914 | 644 | $4K |
2 more codes
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.