ROMAN ROCCA, TELLY
NPI: 1073080016
· ARECIBO, PR 00612
· Dentist
· NPI assigned 10/29/2018
$155K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
26 |
$377.26 |
| 2022 |
209 |
$3K |
| 2023 |
2,567 |
$53K |
| 2024 |
4,497 |
$98K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,473 |
1,083 |
$50K |
| D1999 |
|
2,218 |
1,680 |
$32K |
| D0330 |
Panoramic radiographic image |
553 |
405 |
$19K |
| D0120 |
Periodic oral evaluation - established patient |
1,168 |
843 |
$19K |
| D0272 |
Bitewings - two radiographic images |
973 |
713 |
$16K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
365 |
277 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
440 |
312 |
$6K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
37 |
27 |
$2K |
| D2140 |
|
38 |
24 |
$2K |
| D1120 |
Prophylaxis - child |
34 |
24 |
$713.00 |