Dental
Del Rosario, Derrick
Del Rosario, Derrick was paid $37K by Medicaid between Oct 2024 and Dec 2024, across 16 billing codes. Its largest line is D1354, — 23% of everything it billed.
33Billing provider infoDEL ROSARIO, DERRICK
HOBART, IN 46342
HOBART, IN 46342
33aNPI1801276514assigned 06/08/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$37K
24GClaims1,005
24DCodes billed16
24AFirst – last monthOct 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#418 of 723
Median peer was paid$60K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2024incomplete | 1,005 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1354 | 23% | 288 | 71 | $8K | |
| D7140 | Extraction, erupted tooth or exposed root | 10% | 38 | 19 | $4K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 9.9% | 24 | 14 | $4K |
| D1110 | Prophylaxis - adult | 8.7% | 74 | 69 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.4% | 118 | 116 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.2% | 70 | 68 | $3K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.8% | 40 | 31 | $3K |
| D1206 | Topical application of fluoride varnish | 6.4% | 121 | 114 | $2K |
| D0274 | Bitewings - four radiographic images | 5.0% | 76 | 73 | $2K |
| D0272 | Bitewings - two radiographic images | 3.4% | 64 | 63 | $1K |
| D2160 | 2.4% | 13 | 12 | $883.26 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 18 | 18 | $874.48 |
4 more codes
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.