Dental
Rosales, Jennifer
Rosales, Jennifer was paid $53K by Medicaid between Jan 2018 and Feb 2021, across 28 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 21% of everything it billed.
33Billing provider infoROSALES, JENNIFER
PORTLAND, OR 97266
PORTLAND, OR 97266
33aNPI1093268807assigned 07/28/2016
33bProvider typeDentist
28Total paid$53K
24GClaims8,873
24DCodes billed28
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers
Next to other Dentist providers in Oregon
Rank by total paid#82 of 233
Median peer was paid$19K
This provider vs. median2.9×
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 | 6,978 | $30K | |
| 2019 | 1,272 | $18K | |
| 2020 | 568 | $6K | |
| 2021 | 55 | $241.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 21% | 876 | 822 | $11K |
| D1110 | Prophylaxis - adult | 20% | 416 | 410 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.9% | 418 | 409 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.6% | 334 | 328 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.6% | 275 | 272 | $4K |
| D1206 | Topical application of fluoride varnish | 6.2% | 691 | 620 | $3K |
| D0274 | Bitewings - four radiographic images | 5.4% | 273 | 269 | $3K |
| D0603 | 3.9% | 877 | 824 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | 3.7% | 146 | 146 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 441 | 418 | $2K |
| D1354 | 1.9% | 1,482 | 355 | $1K | |
| D1999 | 1.3% | 176 | 165 | $679.00 |
16 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 79 | $619.00 |
| D1351 | Sealant - per tooth | 1.1% | 147 | $600.00 |
| D2331 | <1% | 21 | $529.35 | |
| D2940 | <1% | 61 | $480.00 | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 39 | $470.00 |
| D0602 | <1% | 348 | $407.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 136 | $398.85 |
| D0272 | Bitewings - two radiographic images | <1% | 109 | $324.13 |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 29 | $316.00 |
| D4355 | <1% | 42 | $312.00 | |
| D0601 | <1% | 234 | $275.00 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 125 | $240.00 |
| D2140 | <1% | 15 | $117.00 | |
| D0270 | <1% | 73 | $56.00 | |
| D1330 | 0% | 766 | $0.00 | |
| D1310 | 0% | 244 | $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.