Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Rhode Island for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Rhode Island only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Rhode Island (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Miguel Roca Inc (NPI 1518303577)

Field	Value
Entity Type	Organization
Organization	Miguel Roca Inc
Address	700 School St
City	Pawtucket
State	RI
ZIP	02860
Taxonomy	Dentist
NPI Enumerated	May 17, 2013

Payer Source	Total Paid
Medicaid	$883.6K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,940	$30	$184.1K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	2,540	$70	$175.5K
D0274	N/A	3,970	$20	$87.3K
D1208	Topical application of fluoride - excluding varnish	4,920	$20	$83.6K
D0330	N/A	2,050	$30	$63.6K
D0150	Comprehensive oral evaluation – new or established patient	2,260	$20	$47.5K
D0220	Intraoral - periapical first radiographic image	3,700	$10	$37K
D0120	Periodic oral evaluation - established patient	3,320	$10	$36.6K
D2335	N/A	440	$70	$29.9K
D0140	Limited oral evaluation – problem focused	2,420	$10	$29K

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.

Claims Volume vs. Rhode Island Distribution

Miguel Roca Inc — 0 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. Rhode Island median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	6	30	350	$110	$158.2K
D2332	N/A	3	10	100	$70	$124.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	62	100	510	$50	$65.4K
D2392	Post 2 surface resin‑based composite	62	110	240	$60	$47.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	17	180	490	$20	$42.3K
D0120	Periodic oral evaluation - established patient	49	210	930	$10	$38.1K
D1208	Topical application of fluoride - excluding varnish	7	100	290	$20	$32.1K
D0330	N/A	13	100	400	$40	$30.7K
D2391	Resin‑based composite – one surface, posterior	47	110	230	$40	$28.7K
D2140	Amalgam - one surface, primary or permanent	16	40	150	$30	$21.8K

Showing 1–10 of 23

Related Providers

Other providers that share a Tax Identification Number (TIN) with Miguel Roca Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Miguel Roca	RI	General Practice Dentistry	$0	$1.8M

Nearby Providers

Other providers in the same ZIP code as Miguel Roca Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gateway Healthcare Inc	RI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$122.7M
Nursing Placement, Inc.	RI	Home Health Agency	$0	$63.4M
United Cerebral Palsy Of Rhode Island, Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$21.3M
Lifetime Financial Management Inc.	RI	Home Health Agency	$0	$20.9M
Addiction Recovery Institute	RI	Community/Behavioral Health Agency	$180.1K	$15.4M
Blackstone Valley Community Health Care	RI	Federally Qualified Health Center (FQHC)	$0	$14.2M
Blackstone Valley Community Health Care, Inc.	RI	Federally Qualified Health Center (FQHC)	$0	$12.4M
United Cerebral Palsy Of Rhode Island, Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$9.6M
Dr. Day Care, Inc.	RI	Counselor	$0	$8.7M
Sheila Brijade	RI	Pediatric Dentistry	$0	$7.7M

Miguel Roca Inc — Billing Profile & Reimbursement Data

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Miguel Roca Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References