Dental
Rodriguez, Tyrone
Rodriguez, Tyrone was paid $100K by Medicaid between Jun 2023 and Apr 2024, across 16 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 19% of everything it billed.
33Billing provider infoRODRIGUEZ, TYRONE
MOSES LAKE, WA 98837
MOSES LAKE, WA 98837
33aNPI1366598880assigned 01/26/2007
33bProvider typePediatric Dentist
28Total paid$100K
24GClaims4,455
24DCodes billed16
24AFirst – last monthJun 2023 – Apr 2024
Compared with peers
Next to other Pediatric Dentist providers in Washington
Rank by total paid#99 of 156
Median peer was paid$337K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2023 | 3,460 | $78K | |
| 2024incomplete | 995 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 19% | 139 | 133 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 496 | 481 | $14K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 391 | 375 | $13K |
| D0272 | Bitewings - two radiographic images | 11% | 485 | 468 | $11K |
| D1351 | Sealant - per tooth | 8.8% | 348 | 73 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 7.6% | 546 | 527 | $8K |
| D1110 | Prophylaxis - adult | 7.2% | 138 | 135 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 5.4% | 454 | 436 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.9% | 453 | 415 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.2% | 167 | 151 | $4K |
| D0330 | Panoramic radiographic image | 2.5% | 56 | 51 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 17 | 12 | $1K |
4 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.