Roth, Alex

Roth, Alex was paid $24K by Medicaid between Feb 2018 and Jan 2020, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 41% of everything it billed.

33Billing provider infoROTH, ALEX
FAIRFIELD, IA 52556

33aNPI1114206513assigned 08/16/2011

33bProvider typeDentist

28Total paid$24K

24GClaims1,256

24DCodes billed7

24AFirst – last monthFeb 2018 – Jan 2020

Compared with peers

Next to other Dentist providers in Iowa

Rank by total paid#144 of 268

Median peer was paid$26K

This provider vs. median0.9×

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	543	$10K
2019	674	$13K
2020	39	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	41%	585	530	$10K
D1120	Dental cleaning, childProphylaxis - child	20%	208	182	$5K
D1206	Topical application of fluoride varnish	16%	271	243	$4K
D1110	Prophylaxis - adult	11%	68	66	$3K
D0150	Comprehensive oral evaluation - new or established patient	5.9%	49	48	$1K
D0274	Bitewings - four radiographic images	3.0%	32	29	$735.69
D0272	Bitewings - two radiographic images	2.0%	43	32	$493.62

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.