Derosa, Michael

Derosa, Michael was paid $9K by Medicaid between Feb 2018 and Aug 2024, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 79% of everything it billed.

33Billing provider infoDEROSA, MICHAEL
SAINT CLAIRSVILLE, OH 43950

33aNPI1235290990assigned 12/13/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$9K

24GClaims332

24DCodes billed4

24AFirst – last monthFeb 2018 – Aug 2024

Compared with peers

Next to other General Practice Dentistry providers in Ohio

Rank by total paid#601 of 870

Median peer was paid$40K

This provider vs. median0.2×

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	127	$3K
2019	141	$3K
2020	39	$1K
2022	12	$406.56
2024incomplete	13	$847.86

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	79%	202	196	$7K
D1120	Dental cleaning, childProphylaxis - child	8.9%	66	58	$768.00
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	6.4%	33	33	$546.56
D0274	Bitewings - four radiographic images	5.6%	31	25	$477.00

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.