Rivera, Dalva

Rivera, Dalva was paid $35K by Medicaid between Jan 2018 and Jun 2021, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.

33Billing provider infoRIVERA, DALVA
HATILLO, PR 00659

33aNPI1831152784assigned 04/11/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$35K

24GClaims2,127

24DCodes billed9

24AFirst – last monthJan 2018 – Jun 2021

Compared with peers

Next to other General Practice Dentistry providers in Puerto Rico

Rank by total paid#368 of 551

Median peer was paid$99K

This provider vs. median0.4×

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	572	$8K
2019	908	$15K
2020	485	$9K
2021	162	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	40%	598	489	$14K
D1999		17%	312	299	$6K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	17%	531	439	$6K
D0272	Bitewings - two radiographic images	15%	406	337	$5K
D2140		3.5%	36	12	$1K
D1208	Topical application of fluoride, excluding varnish	2.6%	69	61	$932.38
D0150	Comprehensive oral evaluation - new or established patient	2.3%	45	45	$808.51
D0230	Intraoral - periapical each additional radiographic image	1.4%	74	39	$502.04
D0220	Intraoral - periapical first radiographic image	1.0%	56	55	$368.67

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.