Dental
De Jesus, Rolando
De Jesus, Rolando was paid $1.02M by Medicaid between Jan 2018 and Oct 2022, across 20 billing codes. Its largest line is D0120, dental checkup, returning patient — 18% of everything it billed.
33Billing provider infoDE JESUS, ROLANDO
STOCKTON, CA 95207
STOCKTON, CA 95207
33aNPI1326211871assigned 04/04/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$1.02M
24GClaims38,951
24DCodes billed20
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#562 of 2,668
Median peer was paid$173K
This provider vs. median5.9×
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 | 9,964 | $239K | |
| 2019 | 9,814 | $268K | |
| 2020 | 6,265 | $166K | |
| 2021 | 7,613 | $191K | |
| 2022 | 5,295 | $162K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 3,970 | 3,968 | $185K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 2,229 | 1,602 | $148K |
| D1110 | Prophylaxis - adult | 11% | 1,406 | 1,406 | $116K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 3,391 | 3,387 | $111K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.9% | 1,883 | 1,317 | $101K |
| D1208 | Topical application of fluoride, excluding varnish | 5.1% | 4,683 | 4,679 | $52K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.0% | 879 | 878 | $52K |
| D0350 | 4.4% | 4,991 | 2,677 | $45K | |
| D0274 | Bitewings - four radiographic images | 4.0% | 1,963 | 1,962 | $41K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.6% | 458 | 372 | $36K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 8,348 | 3,476 | $33K |
| D0210 | Intraoral - complete series of radiographic images | 3.1% | 686 | 686 | $31K |
8 more codes
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.