Caloca, Elisa

Caloca, Elisa was paid $18K by Medicaid between Jan 2018 and Dec 2018, across 10 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 23% of everything it billed.

33Billing provider infoCALOCA, ELISA
STREETSBORO, OH 44241

33aNPI1558440644assigned 11/02/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$18K

24GClaims842

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2018

Compared with peers

Next to other General Practice Dentistry providers in Ohio

Rank by total paid#535 of 870

Median peer was paid$40K

This provider vs. median0.5×

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	842	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0210	Intraoral - complete series of radiographic images	23%	109	103	$4K
D0150	Comprehensive oral evaluation - new or established patient	20%	174	174	$4K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	16%	64	31	$3K
D1110	Prophylaxis - adult	13%	82	78	$2K
D0274	Bitewings - four radiographic images	11%	108	106	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	8.8%	103	102	$2K
D1120	Dental cleaning, childProphylaxis - child	3.1%	30	30	$580.00
D0220	Intraoral - periapical first radiographic image	2.6%	107	103	$475.00
D0230	Intraoral - periapical each additional radiographic image	1.3%	50	45	$240.00
D1206	Topical application of fluoride varnish	1.1%	15	14	$195.00

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.