Dental
Rockwell, Theodore
Rockwell, Theodore was paid $111K by Medicaid between Jan 2018 and Jul 2024, across 9 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.
33Billing provider infoROCKWELL, THEODORE
WARREN, PA 16365
WARREN, PA 16365
33aNPI1215961321assigned 07/11/2006
33bProvider typeDentist
28Total paid$111K
24GClaims2,000
24DCodes billed9
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#196 of 683
Median peer was paid$34K
This provider vs. median3.2×
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 | 153 | $22K | |
| 2019 | 162 | $29K | |
| 2020 | 330 | $13K | |
| 2021 | 1,321 | $42K | |
| 2023 | 16 | $3K | |
| 2024incomplete | 18 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 78% | 515 | 449 | $87K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.4% | 434 | 428 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.7% | 308 | 289 | $6K |
| D1110 | Prophylaxis - adult | 4.4% | 217 | 211 | $5K |
| D1206 | Topical application of fluoride varnish | 3.6% | 346 | 325 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 1.0% | 62 | 62 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 24 | 24 | $448.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 79 | 68 | $260.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 15 | 15 | $64.00 |
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.