Nolte, Roger

Nolte, Roger was paid $50K by Medicaid between Jan 2018 and Dec 2019, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.

33Billing provider infoNOLTE, ROGER
WICHITA, KS 67214

33aNPI1326167990assigned 03/28/2007

33bProvider typePublic Health Dentist

28Total paid$50K

24GClaims1,377

24DCodes billed12

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Public Health Dentist providers in Kansas

Rank by total paid#3 of 6

Median peer was paid$21K

This provider vs. median2.4×

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	803	$37K
2019	574	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	22%	120	118	$11K
D0330	Panoramic radiographic image	22%	92	92	$11K
D1206	Topical application of fluoride varnish	18%	251	247	$9K
D1110	Prophylaxis - adult	9.4%	64	62	$5K
D0220	Intraoral - periapical first radiographic image	6.8%	222	210	$3K
D1351	Sealant - per tooth	5.2%	106	23	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	5.2%	37	15	$3K
D0274	Bitewings - four radiographic images	2.9%	87	87	$1K
D0150	Comprehensive oral evaluation - new or established patient	2.7%	40	40	$1K
D0230	Intraoral - periapical each additional radiographic image	2.4%	264	147	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	2.0%	57	57	$1K
D1208	Topical application of fluoride, excluding varnish	1.1%	37	35	$561.00

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.