Dental
Rivera, Jorge
Rivera, Jorge was paid $268K by Medicaid between Jan 2018 and Aug 2022, across 19 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.
33Billing provider infoRIVERA, JORGE
JUANA DIAZ, PR 00795
JUANA DIAZ, PR 00795
33aNPI1962408104assigned 06/22/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$268K
24GClaims16,301
24DCodes billed19
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#143 of 551
Median peer was paid$99K
This provider vs. median2.7×
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 | 15,396 | $247K | |
| 2019 | 372 | $8K | |
| 2020 | 191 | $4K | |
| 2021 | 284 | $7K | |
| 2022 | 58 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 25% | 2,824 | 2,286 | $66K |
| D0330 | Panoramic radiographic image | 13% | 1,331 | 1,099 | $35K |
| D0272 | Bitewings - two radiographic images | 9.6% | 2,136 | 1,745 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.5% | 2,556 | 2,057 | $26K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 7.3% | 782 | 469 | $20K |
| D7140 | Extraction, erupted tooth or exposed root | 6.5% | 791 | 447 | $17K |
| D1208 | Topical application of fluoride, excluding varnish | 6.5% | 1,297 | 1,051 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.0% | 928 | 746 | $13K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.6% | 781 | 631 | $12K |
| D2160 | 4.0% | 357 | 263 | $11K | |
| D2140 | 3.3% | 412 | 244 | $9K | |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 835 | 655 | $4K |
7 more codes
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.