Dental
James Rostvold
James Rostvold was paid $54K by Medicaid between Mar 2022 and Oct 2024, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 39% of everything it billed.
33Billing provider infoJAMES ROSTVOLD
GRAND RAPIDS, MN 55744
GRAND RAPIDS, MN 55744
33aNPI1205584307assigned 03/17/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$54K
24GClaims1,109
24DCodes billed7
24AFirst – last monthMar 2022 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#139 of 368
Median peer was paid$19K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2022 | 421 | $19K | |
| 2023 | 450 | $23K | |
| 2024incomplete | 238 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 39% | 486 | 484 | $21K |
| D1110 | Prophylaxis - adult | 31% | 196 | 195 | $17K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 127 | 127 | $8K |
| D1206 | Topical application of fluoride varnish | 11% | 192 | 192 | $6K |
| D0140 | Limited oral evaluation - problem focused | 1.9% | 26 | 25 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 56 | 55 | $985.99 |
| D9986 | <1% | 26 | 26 | $520.00 |
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.
From NPPES
Who's on the registration
Authorized officialMORRIS, JENNY (FRONT DESK)