Rivera, Mario

Rivera, Mario was paid $384K by Medicaid between Jun 2021 and Dec 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.

33Billing provider infoRIVERA, MARIO
NARANJITO, PR 00719

33aNPI1669402186assigned 07/03/2006

33bProvider typeDentist

28Total paid$384K

24GClaims17,831

24DCodes billed12

24AFirst – last monthJun 2021 – Dec 2024

Compared with peers

Next to other Dentist providers in Puerto Rico

Rank by total paid#53 of 284

Median peer was paid$86K

This provider vs. median4.5×

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
2021	1,315	$28K
2022	3,827	$80K
2023	3,297	$68K
2024incomplete	9,392	$207K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	31%	3,603	2,919	$121K
D1999		18%	4,931	3,988	$71K
D0330	Panoramic radiographic image	13%	1,483	1,246	$50K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	10%	2,396	1,858	$39K
D0150	Comprehensive oral evaluation - new or established patient	9.9%	1,563	1,321	$38K
D0272	Bitewings - two radiographic images	9.6%	2,342	1,891	$37K
D1208	Topical application of fluoride, excluding varnish	3.8%	989	763	$15K
D1120	Dental cleaning, childProphylaxis - child	1.7%	309	224	$7K
D2150	Silver amalgam - two surfaces, primary or permanent	<1%	59	48	$3K
D3120		<1%	116	83	$3K
D2140		<1%	26	14	$1K
D7140	Extraction, erupted tooth or exposed root	<1%	14	13	$616.60

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.