Dental
Roman Dental LLC
Roman Dental LLC was paid $110K by Medicaid between Feb 2020 and Mar 2023, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.
33Billing provider infoROMAN DENTAL LLC
ARECIBO, PR 00612
ARECIBO, PR 00612
33aNPI1285104810assigned 11/27/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$110K
24GClaims5,747
24DCodes billed11
24AFirst – last monthFeb 2020 – Mar 2023
Compared with peers
Next to other General Practice Dentistry providers in Puerto Rico
Rank by total paid#264 of 551
Median peer was paid$99K
This provider vs. median1.1×
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 | 773 | $14K | |
| 2021 | 1,882 | $36K | |
| 2022 | 2,962 | $58K | |
| 2023 | 130 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 29% | 1,140 | 1,122 | $32K |
| D1999 | 23% | 1,728 | 1,631 | $25K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 921 | 904 | $14K |
| D0330 | Panoramic radiographic image | 12% | 452 | 445 | $13K |
| D0272 | Bitewings - two radiographic images | 11% | 791 | 779 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.2% | 285 | 282 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 3.5% | 263 | 262 | $4K |
| D0140 | Limited oral evaluation - problem focused | 1.0% | 57 | 56 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.0% | 57 | 57 | $1K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 18 | 12 | $876.04 |
| D9995 | <1% | 35 | 35 | $488.00 |
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.
From NPPES
Who's on the registration
Authorized officialROMAN ROCCA, TELLY (PRESIDENT)