Dental
Roa, Jose
Roa, Jose was paid $204K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 43% of everything it billed.
33Billing provider infoROA, JOSE
ELMHURST, NY 11373
ELMHURST, NY 11373
33aNPI1205828423assigned 08/16/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$204K
24GClaims9,150
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#608 of 2,184
Median peer was paid$54K
This provider vs. median3.8×
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 | |
|---|---|---|---|
| 2018 | 657 | $16K | |
| 2019 | 809 | $19K | |
| 2020 | 1,054 | $25K | |
| 2021 | 1,636 | $34K | |
| 2022 | 1,484 | $31K | |
| 2023 | 1,925 | $43K | |
| 2024incomplete | 1,585 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 43% | 2,000 | 2,000 | $87K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 2,271 | 2,271 | $52K |
| D0274 | Bitewings - four radiographic images | 14% | 1,229 | 1,229 | $28K |
| D0220 | Intraoral - periapical first radiographic image | 6.9% | 1,573 | 1,567 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.5% | 1,486 | 1,481 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 2.5% | 412 | 412 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.9% | 61 | 42 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 1.9% | 91 | 91 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 27 | 27 | $939.66 |
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.