Rodriguez, Rachael

Rodriguez, Rachael was paid $57K by Medicaid between Jan 2018 and Feb 2020, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 26% of everything it billed.

33Billing provider infoRODRIGUEZ, RACHAEL
SPRINGDALE, AR 72762

33aNPI1275793390assigned 06/12/2008

33bProvider typeDentist

28Total paid$57K

24GClaims2,406

24DCodes billed9

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other Dentist providers in Arkansas

Rank by total paid#95 of 211

Median peer was paid$44K

This provider vs. median1.3×

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
2018	1,254	$31K
2019	1,083	$25K
2020	69	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	26%	573	426	$15K
D0272	Bitewings - two radiographic images	17%	416	317	$10K
D1206	Topical application of fluoride varnish	16%	474	351	$9K
D0240		15%	355	110	$9K
D1110	Prophylaxis - adult	13%	159	106	$7K
D1120	Dental cleaning, childProphylaxis - child	9.2%	149	120	$5K
D0603		1.8%	207	158	$1K
D1208	Topical application of fluoride, excluding varnish	1.5%	42	42	$837.90
D0602		<1%	31	31	$155.00

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.