Dental
Rafla, Rebecca
Rafla, Rebecca was paid $10K by Medicaid between Oct 2020 and Oct 2022, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 38% of everything it billed.
33Billing provider infoRAFLA, REBECCA
FISHERS, IN 46037
FISHERS, IN 46037
33aNPI1194219568assigned 06/19/2018
33bProvider typePediatric Dentist
28Total paid$10K
24GClaims415
24DCodes billed4
24AFirst – last monthOct 2020 – Oct 2022
Compared with peers
Next to other Pediatric Dentist providers in Indiana
Rank by total paid#123 of 155
Median peer was paid$414K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2020 | 13 | $289.25 | |
| 2021 | 90 | $2K | |
| 2022 | 312 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 38% | 119 | 113 | $4K |
| D1206 | Topical application of fluoride varnish | 33% | 160 | 153 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 121 | 113 | $3K |
| D0272 | Bitewings - two radiographic images | 3.6% | 15 | 15 | $372.15 |
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.