Roth, Kathleen

Roth, Kathleen was paid $72K by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 39% of everything it billed.

33Billing provider infoROTH, KATHLEEN
MISSOULA, MT 59803

33aNPI1255496386assigned 12/27/2006

33bProvider typeDentist

28Total paid$72K

24GClaims2,210

24DCodes billed13

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Dentist providers in Montana

Rank by total paid#34 of 95

Median peer was paid$38K

This provider vs. median1.9×

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	476	$14K
2019	586	$24K
2020	221	$5K
2021	270	$8K
2022	360	$13K
2023	193	$6K
2024incomplete	104	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	39%	1,418	1,258	$28K
D4910		18%	217	211	$13K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	15%	97	45	$11K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	7.1%	235	228	$5K
D9920		6.0%	90	65	$4K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	4.7%	18	12	$3K
D0330	Panoramic radiographic image	3.0%	43	42	$2K
D4355		1.6%	13	13	$1K
D0210	Intraoral - complete series of radiographic images	1.5%	16	16	$1K
D1110	Prophylaxis - adult	<1%	15	15	$648.43
D0350		<1%	19	19	$624.65
D0150	Comprehensive oral evaluation - new or established patient	<1%	16	16	$525.33

1 more codes

D0140

Limited oral evaluation - problem focused

<1%

$461.24

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.