Dental
De LA Rosa, Rebecca
De LA Rosa, Rebecca was paid $2K by Medicaid between May 2018 and Nov 2018, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 59% of everything it billed.
33Billing provider infoDE LA ROSA, REBECCA
AVON, IN 46123
AVON, IN 46123
33aNPI1669537213assigned 12/26/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$2K
24GClaims82
24DCodes billed2
24AFirst – last monthMay 2018 – Nov 2018
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#612 of 723
Median peer was paid$60K
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 | |
|---|---|---|---|
| 2018 | 82 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 59% | 50 | 49 | $1K |
| D1110 | Prophylaxis - adult | 41% | 32 | 31 | $716.25 |
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.