RAFAEL RIVERA, JR., DDS, PLLC
NPI: 1740459650
· WINSTON SALEM, NC 27103
· 122300000X
$22.17M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
96,555 |
$3.27M |
| 2019 |
90,703 |
$3.38M |
| 2020 |
67,917 |
$2.75M |
| 2021 |
85,180 |
$3.62M |
| 2022 |
86,148 |
$3.13M |
| 2023 |
83,897 |
$3.21M |
| 2024 |
79,891 |
$2.81M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
19,476 |
7,842 |
$2.83M |
| D0120 |
|
87,318 |
85,524 |
$2.28M |
| D1120 |
|
60,095 |
58,664 |
$1.64M |
| D2140 |
|
20,905 |
12,234 |
$1.49M |
| D1110 |
|
38,351 |
37,444 |
$1.47M |
| D1206 |
|
81,534 |
79,453 |
$1.34M |
| D3220 |
|
16,096 |
5,244 |
$1.32M |
| D2934 |
|
5,711 |
1,991 |
$1.09M |
| D2150 |
|
11,096 |
6,863 |
$1.04M |
| D1351 |
|
32,782 |
8,443 |
$905K |
| D0220 |
|
57,574 |
56,177 |
$870K |
| D7140 |
|
10,641 |
6,235 |
$680K |
| D0274 |
|
24,210 |
23,572 |
$665K |
| D0330 |
|
13,043 |
12,693 |
$650K |
| D9243 |
|
4,002 |
1,086 |
$546K |
| D0272 |
|
25,968 |
25,442 |
$477K |
| D7230 |
|
2,189 |
789 |
$362K |
| D0230 |
|
28,847 |
24,876 |
$348K |
| D0150 |
|
7,816 |
7,530 |
$342K |
| D1208 |
|
15,561 |
15,318 |
$245K |
| D7240 |
|
1,183 |
435 |
$235K |
| D2160 |
|
1,907 |
1,325 |
$211K |
| D1510 |
|
810 |
659 |
$156K |
| D2392 |
|
1,508 |
844 |
$148K |
| D9230 |
|
3,254 |
3,014 |
$148K |
| D2391 |
|
1,696 |
1,076 |
$132K |
| D0140 |
|
3,421 |
3,330 |
$128K |
| D0145 |
|
3,924 |
2,317 |
$86K |
| D9239 |
|
1,109 |
1,084 |
$81K |
| D7111 |
|
1,577 |
1,145 |
$80K |
| D3230 |
|
484 |
133 |
$67K |
| D9610 |
|
1,095 |
1,079 |
$39K |
| D9420 |
|
170 |
160 |
$20K |
| D2331 |
|
192 |
108 |
$13K |
| D2330 |
|
176 |
126 |
$11K |
| D2393 |
|
67 |
53 |
$9K |
| D2332 |
|
53 |
24 |
$3K |
| D7210 |
|
21 |
12 |
$2K |
| D2335 |
|
14 |
12 |
$2K |
| D9440 |
|
14 |
14 |
$893.94 |
| D0999 |
|
17 |
14 |
$323.40 |
| D1354 |
|
36 |
13 |
$254.01 |
| D0350 |
|
4,068 |
3,925 |
$234.00 |
| D1999 |
|
280 |
273 |
$0.00 |