Dental
Della Croce, Mira
Della Croce, Mira was paid $7K by Medicaid between Jul 2021 and Aug 2021, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 37% of everything it billed.
33Billing provider infoDELLA CROCE, MIRA
BEAVERTON, OR 97006
BEAVERTON, OR 97006
33aNPI1134439144assigned 10/13/2010
33bProvider typeDentist
28Total paid$7K
24GClaims305
24DCodes billed8
24AFirst – last monthJul 2021 – Aug 2021
Compared with peers
Next to other Dentist providers in Oregon
Rank by total paid#142 of 233
Median peer was paid$19K
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 | |
|---|---|---|---|
| 2021 | 305 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 37% | 69 | 69 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 60 | 60 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 9.2% | 38 | 38 | $646.00 |
| D1206 | Topical application of fluoride varnish | 7.3% | 27 | 27 | $513.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.0% | 13 | 13 | $494.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.6% | 18 | 18 | $468.00 |
| D0272 | Bitewings - two radiographic images | 6.5% | 25 | 25 | $460.00 |
| D1354 | 3.8% | 55 | 19 | $266.00 |
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.