Medicaid Provider Spending

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

RIVERA, RAMON

NPI: 1952307936 · FAJARDO, PR 00738 · General Practice Dentistry · NPI assigned 06/23/2005

$37K
Total Medicaid Paid
1,960
Total Claims
1,714
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 538 $9K
2019 384 $8K
2020 390 $8K
2021 277 $4K
2022 258 $6K
2024 113 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 838 720 $21K
D1999 534 501 $8K
D0120 Periodic oral evaluation - established patient 341 288 $4K
D0150 Comprehensive oral evaluation - new or established patient 202 161 $3K
D1208 Topical application of fluoride, excluding varnish 26 25 $326.46
D0272 Bitewings - two radiographic images 19 19 $242.10