Dental
Rivera, Ramon
Rivera, Ramon was paid $37K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 58% of everything it billed.
33Billing provider infoRIVERA, RAMON
FAJARDO, PR 00738
FAJARDO, PR 00738
33aNPI1952307936assigned 06/23/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$37K
24GClaims1,960
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#366 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 | 538 | $9K | |
| 2019 | 384 | $8K | |
| 2020 | 390 | $8K | |
| 2021 | 277 | $4K | |
| 2022 | 258 | $6K | |
| 2024incomplete | 113 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 58% | 838 | 720 | $21K |
| D1999 | 21% | 534 | 501 | $8K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 341 | 288 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.1% | 202 | 161 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 26 | 25 | $326.46 |
| D0272 | Bitewings - two radiographic images | <1% | 19 | 19 | $242.10 |
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.