Dental
Miguel Roca INC
Miguel Roca INC was paid $889K by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is D1110, Prophylaxis - adult — 21% of everything it billed.
33Billing provider infoMIGUEL ROCA INC
PAWTUCKET, RI 02860
PAWTUCKET, RI 02860
33aNPI1518303577assigned 05/17/2013
33bProvider typeDentist
28Total paid$889K
24GClaims34,882
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in Rhode Island
Rank by total paid#19 of 93
Median peer was paid$115K
This provider vs. median7.7×
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 | 10,067 | $273K | |
| 2019 | 17,321 | $440K | |
| 2020 | 4,280 | $98K | |
| 2021 | 1,044 | $26K | |
| 2022 | 843 | $23K | |
| 2023 | 1,055 | $18K | |
| 2024incomplete | 272 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 21% | 5,938 | 5,790 | $187K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 20% | 2,543 | 1,295 | $176K |
| D0274 | Bitewings - four radiographic images | 9.8% | 3,969 | 3,878 | $87K |
| D1208 | Topical application of fluoride, excluding varnish | 9.7% | 4,915 | 4,828 | $86K |
| D0330 | Panoramic radiographic image | 7.2% | 2,053 | 1,968 | $64K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.3% | 2,260 | 2,211 | $47K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.2% | 3,324 | 3,238 | $37K |
| D0220 | Intraoral - periapical first radiographic image | 4.1% | 3,695 | 3,437 | $36K |
| D2335 | 3.3% | 439 | 294 | $30K | |
| D0140 | Limited oral evaluation - problem focused | 3.3% | 2,420 | 2,181 | $30K |
| D7140 | Extraction, erupted tooth or exposed root | 1.9% | 237 | 115 | $17K |
| D2332 | 1.7% | 281 | 199 | $15K |
11 more codes
| D0210 | Intraoral - complete series of radiographic images | 1.6% | 361 | $14K |
| D2331 | 1.2% | 244 | $11K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.1% | 366 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 934 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 193 | $7K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 185 | $7K |
| D2140 | <1% | 182 | $5K | |
| D2950 | <1% | 50 | $5K | |
| D2330 | <1% | 116 | $4K | |
| D9110 | <1% | 105 | $4K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 72 | $3K |
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 officialROCA, MIGUEL (DENTIST / OWNER)