Dental
Rivera, Melvin
Rivera, Melvin was paid $39K by Medicaid between Jan 2018 and Jun 2021, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.
33Billing provider infoRIVERA, MELVIN
RIDGEWOOD, NY 11385
RIDGEWOOD, NY 11385
33aNPI1598809857assigned 02/19/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$39K
24GClaims1,298
24DCodes billed10
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#1,191 of 2,184
Median peer was paid$54K
This provider vs. median0.7×
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 | 555 | $13K | |
| 2020 | 199 | $7K | |
| 2021 | 544 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 23% | 211 | 211 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 22% | 212 | 46 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 290 | 268 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 137 | 115 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 10% | 93 | 93 | $4K |
| D0274 | Bitewings - four radiographic images | 4.9% | 97 | 91 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 4.5% | 67 | 54 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 82 | 68 | $744.32 |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 34 | 34 | $725.28 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 75 | 63 | $545.48 |
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.