Dental
Rivera, Anna Lourdes
Rivera, Anna Lourdes was paid $165K by Medicaid between Oct 2021 and Dec 2024, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.
33Billing provider infoRIVERA, ANNA LOURDES
KENOSHA, WI 53142
KENOSHA, WI 53142
33aNPI1598431421assigned 08/19/2021
33bProvider typeDentist
28Total paid$165K
24GClaims6,601
24DCodes billed14
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Dentist providers in Wisconsin
Rank by total paid#51 of 185
Median peer was paid$28K
This provider vs. median5.9×
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 | |
|---|---|---|---|
| 2021 | 25 | $0.00 | |
| 2022 | 1,041 | $19K | |
| 2023 | 3,413 | $99K | |
| 2024incomplete | 2,122 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 1,118 | 1,118 | $45K |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 1,149 | 1,149 | $29K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 1,080 | 1,078 | $28K |
| D1351 | Sealant - per tooth | 13% | 243 | 125 | $21K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.5% | 133 | 103 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 4.9% | 1,144 | 1,139 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.7% | 1,103 | 1,087 | $8K |
| D0274 | Bitewings - four radiographic images | 4.2% | 350 | 349 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 98 | 98 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.1% | 15 | 12 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 112 | 112 | $2K |
| D4355 | <1% | 17 | 17 | $1K |
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.