Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Perez, Glorivi

Perez, Glorivi was paid $33K by Medicaid between Jan 2018 and Oct 2018, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.

33Billing provider infoPEREZ, GLORIVI
RIO PIEDRAS, PR 00925
33aNPI1821218579assigned 04/26/2007
28Total paid$33K
24GClaims2,074
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#373 of 551
Median peer was paid$99K
This provider vs. median0.3×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
20182,074$33K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 32% 464 464 $10K
D0272 Bitewings - two radiographic images 15% 387 387 $5K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 14% 461 461 $5K
D0330 Panoramic radiographic image 12% 156 156 $4K
D1208 Topical application of fluoride, excluding varnish 11% 267 267 $4K
D1120 Dental cleaning, childProphylaxis - child 7.5% 152 152 $2K
D0150 Comprehensive oral evaluation - new or established patient 6.0% 135 135 $2K
D2150 Silver amalgam - two surfaces, primary or permanent 1.4% 18 13 $450.60
D7140 Extraction, erupted tooth or exposed root 1.4% 20 12 $447.00
D0220 Intraoral - periapical first radiographic image <1% 14 14 $74.60

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.