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Roan Cercenia, DDS

Dentist · Milpitas

NPI 1093110082

Medicare standing
1 flag on the record
Listed below.
Plans that list them
7
2 carriers
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

1 location

Plans that list them

7 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Cercenia’s office at (408) 945-7593 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

7 of 7 plans

Plans whose provider directory lists this clinician
Aetna Medicare Eagle (PPO)Aetna MedicareListedSep 8, 2026
Aetna Medicare Enhanced (HMO-POS)Aetna MedicareListedSep 8, 2026
Aetna Medicare Enhanced (PPO)Aetna MedicareListedSep 8, 2026
Aetna Medicare Enhanced Extra (HMO-POS)Aetna MedicareListedSep 8, 2026
Astiva Health C-SNP WOW - NorCal (HMO C-SNP)Astiva HealthListedSep 27, 2026
Astiva Health Premier Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Astiva Health Savings Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026

Medicaid work

$251,978 in 2024

Medicaid paid $251,978 for 6,720 billed services this clinician did in 2024, up to 112 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Service715$49,520
Service645$42,653
Service514$26,618
Service549$26,196
Service1,462$21,192
Service295$20,650
Service763$16,259
Service625$9,202
Service103$8,910
Service137$7,480
Service88$6,083
Service134$5,082
Medicaid work by year
20246,72019112$251,978
20235,94515107$208,055
20225,76617111$221,999
20216,51919111$213,392
20204,1781993$137,552
20196,1731898$203,992
20183,4301570$101,045
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Service799$54,830
Service529$35,000
Service623$31,610
Service1,486$22,089
Service428$20,328
Service809$17,036
Service691$9,853
Service69$4,830
Service70$3,822
Service250$2,448
Service30$1,925
Service118$1,416

2022

Largest Medicaid services in 2022
Service848$61,730
Service643$33,077
Service502$32,635
Service1,114$21,284
Service356$16,632
Service721$15,230
Service722$10,478
Service113$7,910
Service79$7,043
Service89$5,914
Service71$3,255
Service200$2,358

2021

Largest Medicaid services in 2021
Service969$43,292
Service533$34,843
Service1,079$23,335
Service784$23,130
Service377$17,952
Service685$14,450
Service157$10,075
Service143$9,610
Service98$8,730
Service829$7,851
Service157$7,130
Service103$5,610

2020

Largest Medicaid services in 2020
Service514$22,914
Service309$20,394
Service489$14,460
Service257$12,288
Service543$11,146
Service158$10,618
Service146$9,425
Service100$8,212
Service146$6,670
Service288$5,983
Service573$5,926
Service38$2,660

2019

Largest Medicaid services in 2019
Service791$35,531
Service446$29,904
Service382$25,196
Service740$21,983
Service315$17,090
Service841$16,708
Service323$15,456
Service401$8,554
Service830$8,163
Service511$4,992
Service76$4,875
Service53$4,680

2018

Largest Medicaid services in 2018
Service265$17,674
Service242$13,104
Service241$12,949
Service430$12,660
Service336$11,934
Service447$7,558
Service84$5,280
Service107$5,024
Service452$4,140
Service175$3,488
Service339$2,896
Service215$2,398

Drugs they prescribed that Part D paid

$340

Pharmacies billed $340 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 70) in 2024. At or below the middle of the specialty; the typical dentist clinician is at 0%.

70 generic and 0 brand-name prescriptions · $340 in drug cost · 46 antibiotic prescriptions to 42 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Amoxicillin37$189$5
Ibuprofen18$65$3

Year by year

Part D prescribing by year
202470470% (0)0%$340
202377490% (0)0%$476
20227248None0%$349
20218754NoneNone$425
20204733None0%$233
20194430None0%$274
20183019NoneNone$219
20174527NoneNone$240
2016834418% (15)0%$432

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 2 drugs

Part D drugs prescribed in 2023
Amoxicillin48$257$5
Ibuprofen18$73$4

2022: 2 drugs

Part D drugs prescribed in 2022
Amoxicillin46$210$5
Ibuprofen24$101$4

2021: 2 drugs

Part D drugs prescribed in 2021
Amoxicillin51$248$5
Ibuprofen28$97$3

2020: 2 drugs

Part D drugs prescribed in 2020
Amoxicillin29$140$5
Ibuprofen13$52$4

2019: 2 drugs

Part D drugs prescribed in 2019
Amoxicillin24$141$6
Ibuprofen11$51$5

2018: 1 drug

Part D drugs prescribed in 2018
Amoxicillin14$79$6

2017: 1 drug

Part D drugs prescribed in 2017
Amoxicillin24$115$5

2016: 3 drugs

Part D drugs prescribed in 2016
Amoxicillin34$163$5
Clindamycin11$97$9
Ibuprofen19$64$3

Money from drug and device companies

$350 in 2022

Industry payments by year
202213None$350
201911None$11

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Straumann USANone$350
3 payments
  • Meals · 2022-03-13 · $175
  • Education · 2022-03-13 · $150
  • Education · 2022-03-13 · $25
See all 3 published payments
Every published payment
Straumann USAMeals · 2022-03-13None$175
Straumann USAEducation · 2022-03-13None$150
Straumann USAEducation · 2022-03-13None$25
See earlier years (2019)

2019: $11

Payments by company in 2019
Philips Electronics North AmericaOral Health Care Und$11
1 payment
  • Meals for Oral Health Care Und · 2019-11-26 · $11

Professional record

NPI
1093110082
Licence
CA 59920
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 122300000X (122300000X)
Mailing address
2677 Hesselbein Way, San Jose, CA, 95148
NPI first listed
2014-11-03
NPI last updated
2014-11-03

This is when the NPI record was last certified, not a medical board exam.