Dental
Rivera Dental PLLC
Rivera Dental PLLC was paid $279K by Medicaid between Oct 2020 and Dec 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 35% of everything it billed.
33Billing provider infoRIVERA DENTAL PLLC
TAUNTON, MA 02780
TAUNTON, MA 02780
33aNPI1770198756assigned 09/15/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$279K
24GClaims7,010
24DCodes billed12
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#223 of 693
Median peer was paid$87K
This provider vs. median3.2×
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 | |
|---|---|---|---|
| 2020 | 99 | $4K | |
| 2021 | 1,035 | $42K | |
| 2022 | 1,692 | $62K | |
| 2023 | 2,016 | $81K | |
| 2024incomplete | 2,168 | $90K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 35% | 1,822 | 1,736 | $99K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19% | 672 | 385 | $53K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 1,698 | 1,624 | $40K |
| D0274 | Bitewings - four radiographic images | 8.7% | 683 | 646 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.6% | 296 | 288 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 4.5% | 432 | 422 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 173 | 91 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 615 | 586 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 443 | 376 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 1.9% | 71 | 69 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.4% | 40 | 26 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.3% | 65 | 64 | $4K |
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, JAYSON (DENTIST/ OWNER)