Dental
Roca, Miguel
Roca, Miguel was paid $1.85M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is D1110, Prophylaxis - adult — 12% of everything it billed.
33Billing provider infoROCA, MIGUEL
PAWTUCKET, RI 02860
PAWTUCKET, RI 02860
33aNPI1104111962assigned 06/09/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$1.85M
24GClaims57,866
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Rhode Island
Rank by total paid#5 of 86
Median peer was paid$77K
This provider vs. median24×
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 | 11,809 | $311K | |
| 2019 | 2,985 | $94K | |
| 2020 | 10,582 | $280K | |
| 2021 | 8,489 | $257K | |
| 2022 | 4,537 | $144K | |
| 2023 | 9,120 | $354K | |
| 2024incomplete | 10,344 | $405K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 12% | 6,189 | 5,970 | $231K |
| D1206 | Topical application of fluoride varnish | 12% | 6,435 | 6,205 | $218K |
| D0330 | Panoramic radiographic image | 11% | 4,023 | 3,885 | $204K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 10% | 1,860 | 1,145 | $187K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.4% | 4,130 | 4,000 | $173K |
| D0140 | Limited oral evaluation - problem focused | 7.4% | 4,894 | 4,536 | $136K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.9% | 6,130 | 5,941 | $109K |
| D0274 | Bitewings - four radiographic images | 5.4% | 4,407 | 4,302 | $100K |
| D1351 | Sealant - per tooth | 4.6% | 4,249 | 996 | $85K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.5% | 879 | 603 | $64K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.4% | 2,495 | 2,430 | $63K |
| D7140 | Extraction, erupted tooth or exposed root | 3.2% | 840 | 402 | $58K |
19 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 4,134 | $48K |
| D1208 | Topical application of fluoride, excluding varnish | 2.5% | 2,604 | $46K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.4% | 843 | $45K |
| D7250 | <1% | 102 | $14K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,321 | $14K |
| D9920 | <1% | 307 | $10K | |
| D1310 | <1% | 415 | $9K | |
| D1330 | <1% | 413 | $8K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 186 | $7K |
| D0272 | Bitewings - two radiographic images | <1% | 405 | $7K |
| D2140 | <1% | 75 | $2K | |
| D2950 | <1% | 18 | $2K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 39 | $1K |
| D2335 | <1% | 17 | $1K | |
| D2330 | <1% | 24 | $665.00 | |
| D9992 | <1% | 46 | $594.00 | |
| D0603 | <1% | 347 | $0.01 | |
| D1999 | 0% | 26 | $0.00 | |
| D0602 | 0% | 13 | $0.00 |
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.