Dental
Arivera PLLC
Arivera PLLC was paid $5.19M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 23% of everything it billed.
33Billing provider infoARIVERA PLLC
DALLAS, TX 75233
DALLAS, TX 75233
33aNPI1750609566assigned 05/05/2010
33bProvider typeDentist
28Total paid$5.19M
24GClaims176,271
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#33 of 1,678
Median peer was paid$35K
This provider vs. median150×
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 | 39 | $346.20 | |
| 2019 | 131 | $7K | |
| 2020 | 3,713 | $103K | |
| 2021 | 41,255 | $1.21M | |
| 2022 | 50,393 | $1.42M | |
| 2023 | 46,532 | $1.40M | |
| 2024incomplete | 34,208 | $1.05M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 23% | 12,550 | 5,834 | $1.22M |
| D1351 | Sealant - per tooth | 11% | 21,712 | 6,115 | $584K |
| D0145 | Oral evaluation for a patient under three years of age | 8.7% | 3,222 | 3,208 | $451K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.5% | 15,574 | 15,405 | $439K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.2% | 4,896 | 2,716 | $373K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.8% | 9,839 | 9,740 | $352K |
| D1110 | Prophylaxis - adult | 6.5% | 6,330 | 6,268 | $339K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.6% | 26,083 | 14,876 | $292K |
| D1208 | Topical application of fluoride, excluding varnish | 4.6% | 16,638 | 16,465 | $238K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.1% | 8,069 | 7,833 | $211K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 15,833 | 15,584 | $193K |
| D0274 | Bitewings - four radiographic images | 3.1% | 4,759 | 4,716 | $161K |
12 more codes
| D0272 | Bitewings - two radiographic images | 2.9% | 6,586 | $151K |
| D0210 | Intraoral - complete series of radiographic images | 1.6% | 1,402 | $85K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 860 | $29K |
| D2330 | <1% | 342 | $24K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 179 | $17K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 109 | $16K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 91 | $8K |
| D0140 | Limited oral evaluation - problem focused | <1% | 185 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 42 | $2K |
| D7111 | <1% | 86 | $929.07 | |
| D0603 | 0% | 19,604 | $0.00 | |
| D0601 | 0% | 1,280 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialRIVERA, ANTONIO (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Aqua Ingram PLLC | San Antonio, TX | $4.98M |
| A Rivera Medical Services LLC | Falls Church, VA | $193K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.