Dental
Roman Rocca, Telly
Roman Rocca, Telly was paid $155K by Medicaid between Apr 2021 and Dec 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.
33Billing provider infoROMAN ROCCA, TELLY
ARECIBO, PR 00612
ARECIBO, PR 00612
33aNPI1073080016assigned 10/29/2018
33bProvider typeDentist
28Total paid$155K
24GClaims7,299
24DCodes billed10
24AFirst – last monthApr 2021 – Dec 2024
Compared with peers
Next to other Dentist providers in Puerto Rico
Rank by total paid#103 of 284
Median peer was paid$86K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2021 | 26 | $377.26 | |
| 2022 | 209 | $3K | |
| 2023 | 2,567 | $53K | |
| 2024incomplete | 4,497 | $98K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 32% | 1,473 | 1,083 | $50K |
| D1999 | 21% | 2,218 | 1,680 | $32K | |
| D0330 | Panoramic radiographic image | 13% | 553 | 405 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,168 | 843 | $19K |
| D0272 | Bitewings - two radiographic images | 10% | 973 | 713 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.8% | 365 | 277 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 4.2% | 440 | 312 | $6K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.2% | 37 | 27 | $2K |
| D2140 | <1% | 38 | 24 | $2K | |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 34 | 24 | $713.00 |
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.