Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ROTH POWELL & MANN II DDS PA

NPI: 1245779123 · RALEIGH, NC 27603 · General Practice Dentistry · NPI assigned 02/13/2017

$33K
Total Medicaid Paid
1,855
Total Claims
1,407
Beneficiary Records
9
Codes Billed
2019-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBALDWIN, CHRISTY (MANAGER)
NPI Enumeration Date02/13/2017

Related Entities

Other providers sharing the same authorized official: BALDWIN, CHRISTY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 20 $603.45
2020 92 $1K
2021 213 $3K
2022 249 $5K
2023 397 $8K
2024 884 $15K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D0120 Periodic oral evaluation - established patient 510 440 $11K
D1110 Prophylaxis - adult 160 132 $5K
D0230 Intraoral - periapical each additional radiographic image 482 232 $5K
D0220 Intraoral - periapical first radiographic image 353 310 $5K
D1206 Topical application of fluoride varnish 201 170 $3K
D0150 Comprehensive oral evaluation - new or established patient 51 40 $2K
D1120 Prophylaxis - child 59 54 $1K
D0274 Bitewings - four radiographic images 21 17 $499.25
D1208 Topical application of fluoride, excluding varnish 18 12 $209.76