Dental
De LA Roche, Beatriz
De LA Roche, Beatriz was paid $657K by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoDE LA ROCHE, BEATRIZ
MOUNT PLEASANT, PA 15666
MOUNT PLEASANT, PA 15666
33aNPI1942429931assigned 04/25/2007
33bProvider typePediatric Dentist
28Total paid$657K
24GClaims22,219
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#32 of 237
Median peer was paid$109K
This provider vs. median6.0×
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 | 2,750 | $87K | |
| 2019 | 1,254 | $37K | |
| 2020 | 4,706 | $138K | |
| 2021 | 10,442 | $307K | |
| 2023 | 253 | $5K | |
| 2024incomplete | 2,814 | $83K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 3,410 | 3,396 | $106K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 3,525 | 3,500 | $73K |
| D1206 | Topical application of fluoride varnish | 10% | 3,810 | 3,792 | $68K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.9% | 931 | 591 | $65K |
| D1110 | Prophylaxis - adult | 7.7% | 1,332 | 1,321 | $50K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.3% | 789 | 509 | $41K |
| D8670 | Periodic orthodontic treatment visit | 5.5% | 336 | 330 | $36K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 4.9% | 430 | 163 | $32K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.4% | 300 | 142 | $29K |
| D7140 | Extraction, erupted tooth or exposed root | 4.4% | 447 | 276 | $29K |
| D1351 | Sealant - per tooth | 3.9% | 1,058 | 273 | $25K |
| D0251 | 3.8% | 2,166 | 1,281 | $25K |
15 more codes
| D0274 | Bitewings - four radiographic images | 2.3% | 504 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | 2.2% | 765 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 663 | $14K |
| D2933 | 1.5% | 66 | $10K | |
| D2330 | <1% | 133 | $6K | |
| D2331 | <1% | 79 | $5K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 54 | $3K |
| D0330 | Panoramic radiographic image | <1% | 83 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 62 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 255 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 249 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 22 | $445.00 |
| D0240 | <1% | 14 | $170.40 | |
| D1999 | <1% | 708 | $157.08 | |
| D9995 | 0% | 28 | $0.00 |
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.