Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

RIVERA, DALVA

NPI: 1831152784 · HATILLO, PR 00659 · General Practice Dentistry · NPI assigned 04/11/2006

$35K
Total Medicaid Paid
2,127
Total Claims
1,776
Beneficiaries
9
Codes Billed
2018-01
First Month
2021-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 572 $8K
2019 908 $15K
2020 485 $9K
2021 162 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 598 489 $14K
D1999 312 299 $6K
D0120 Periodic oral evaluation - established patient 531 439 $6K
D0272 Bitewings - two radiographic images 406 337 $5K
D2140 36 12 $1K
D1208 Topical application of fluoride, excluding varnish 69 61 $932.38
D0150 Comprehensive oral evaluation - new or established patient 45 45 $808.51
D0230 Intraoral - periapical each additional radiographic image 74 39 $502.04
D0220 Intraoral - periapical first radiographic image 56 55 $368.67