Dental
Roth Powell & Mann II DDS PA
Roth Powell & Mann II DDS PA was paid $33K by Medicaid between Feb 2019 and Nov 2024, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 34% of everything it billed.
33Billing provider infoROTH POWELL & MANN II DDS PA
RALEIGH, NC 27603
RALEIGH, NC 27603
33aNPI1245779123assigned 02/13/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$33K
24GClaims1,855
24DCodes billed9
24AFirst – last monthFeb 2019 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in North Carolina
Rank by total paid#502 of 756
Median peer was paid$121K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2019 | 20 | $603.45 | |
| 2020 | 92 | $1K | |
| 2021 | 213 | $3K | |
| 2022 | 249 | $5K | |
| 2023 | 397 | $8K | |
| 2024incomplete | 884 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 34% | 510 | 440 | $11K |
| D1110 | Prophylaxis - adult | 15% | 160 | 132 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 15% | 482 | 232 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 14% | 353 | 310 | $5K |
| D1206 | Topical application of fluoride varnish | 8.6% | 201 | 170 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 51 | 40 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.4% | 59 | 54 | $1K |
| D0274 | Bitewings - four radiographic images | 1.5% | 21 | 17 | $499.25 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 18 | 12 | $209.76 |
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 officialBALDWIN, CHRISTY (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Kyle J Roth III DDS PA | Goldsboro, NC | $2.15M |
| Chang and Ramos DDS PA | Durham, NC | $832K |
| Roth & Powell IV DDS PA | Durham, NC | $711K |
| Roth & Powell III DDS PA | Raleigh, NC | $288K |
| Kyle J Roth II, DDS, PA | Raleigh, NC | $63K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.