Clinic
Jonathan Ryan Rogenmoser DDS LLC
Jonathan Ryan Rogenmoser DDS LLC was paid $232K by Medicaid between Jun 2018 and Aug 2023, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
33Billing provider infoJONATHAN RYAN ROGENMOSER DDS LLC
ALEXANDRIA, LA 71303
ALEXANDRIA, LA 71303
33aNPI1104205905assigned 05/26/2015
33bProvider typeDental Clinic/Center
28Total paid$232K
24GClaims7,340
24DCodes billed14
24AFirst – last monthJun 2018 – Aug 2023
Compared with peers
Next to other Dental Clinic/Center providers in Louisiana
Rank by total paid#25 of 59
Median peer was paid$90K
This provider vs. median2.6×
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 | |
|---|---|---|---|
| 2018 | 1,119 | $37K | |
| 2019 | 2,632 | $87K | |
| 2020 | 2,338 | $67K | |
| 2021 | 710 | $22K | |
| 2022 | 280 | $11K | |
| 2023 | 261 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 1,447 | 1,440 | $48K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 1,375 | 1,355 | $36K |
| D1110 | Prophylaxis - adult | 12% | 616 | 605 | $28K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 626 | 617 | $28K |
| D1208 | Topical application of fluoride, excluding varnish | 8.5% | 1,023 | 1,015 | $20K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.4% | 559 | 482 | $20K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.1% | 160 | 99 | $14K |
| D0272 | Bitewings - two radiographic images | 4.3% | 492 | 489 | $10K |
| D1206 | Topical application of fluoride varnish | 3.8% | 376 | 375 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 3.4% | 134 | 134 | $8K |
| D0330 | Panoramic radiographic image | 2.9% | 125 | 124 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 226 | 215 | $3K |
2 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.
From NPPES
Who's on the registration
Authorized officialROGENMOSER, JONATHAN (OWNER/MEMBER)