Rivera, Jim

Rivera, Jim was paid $36K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 37% of everything it billed.

33Billing provider infoRIVERA, JIM
CABO ROJO, PR 00623

33aNPI1598730442assigned 02/22/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$36K

24GClaims2,590

24DCodes billed11

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#367 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	807	$10K
2019	517	$8K
2020	330	$6K
2021	294	$3K
2022	521	$7K
2023	53	$785.29
2024incomplete	68	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	37%	564	481	$14K
D1999		21%	572	515	$8K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	21%	692	583	$8K
D0272	Bitewings - two radiographic images	7.0%	192	165	$3K
D0220	Intraoral - periapical first radiographic image	3.6%	221	193	$1K
D7140	Extraction, erupted tooth or exposed root	3.2%	39	30	$1K
D0230	Intraoral - periapical each additional radiographic image	2.7%	195	174	$993.10
D1208	Topical application of fluoride, excluding varnish	1.2%	34	34	$450.34
D0140	Limited oral evaluation - problem focused	1.2%	33	29	$446.82
D0150	Comprehensive oral evaluation - new or established patient	1.0%	27	24	$377.32
D1120	Dental cleaning, childProphylaxis - child	<1%	21	20	$275.40

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.