Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DR ERNESTO DEL VALLE RIVERA CSP

NPI: 1669536587 · AGUADA, PR 00602 · Dentist · NPI assigned 12/22/2006

$17K
Total Medicaid Paid
989
Total Claims
908
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDEL VALLE, ERNESTO (OWNER)
NPI Enumeration Date12/22/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 441 $7K
2019 42 $778.35
2020 13 $331.05
2023 227 $4K
2024 266 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 287 265 $7K
D1999 286 280 $4K
D0150 Comprehensive oral evaluation - new or established patient 151 127 $3K
D0120 Periodic oral evaluation - established patient 163 145 $2K
D1208 Topical application of fluoride, excluding varnish 84 74 $1K
D1120 Prophylaxis - child 18 17 $275.40