Rostvold, James

Rostvold, James was paid $30K by Medicaid between Jan 2018 and Dec 2021, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 48% of everything it billed.

33Billing provider infoROSTVOLD, JAMES
GRAND RAPIDS, MN 55744

33aNPI1386712537assigned 12/04/2006

33bProvider typeDentist

28Total paid$30K

24GClaims694

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2021

Compared with peers

Next to other Dentist providers in Minnesota

Rank by total paid#72 of 192

Median peer was paid$9K

This provider vs. median3.2×

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	152	$0.00
2019	12	$1K
2020	75	$4K
2021	455	$25K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	48%	194	194	$14K
D0150	Comprehensive oral evaluation - new or established patient	16%	112	112	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	179	179	$4K
D1206	Topical application of fluoride varnish	5.7%	58	58	$2K
D1120	Dental cleaning, childProphylaxis - child	5.5%	50	50	$2K
D0210	Intraoral - complete series of radiographic images	5.5%	13	13	$2K
D0140	Limited oral evaluation - problem focused	2.9%	20	20	$853.29
D0220	Intraoral - periapical first radiographic image	1.9%	31	31	$567.90
D0274	Bitewings - four radiographic images	0%	25	25	$0.00
D9986		0%	12	12	$0.00

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.