Rodgers, Allen

Rodgers, Allen was paid $5K by Medicaid between Apr 2018 and Dec 2018, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 46% of everything it billed.

33Billing provider infoRODGERS, ALLEN
RICHLAND, MO 65556

33aNPI1407987555assigned 03/08/2007

33bProvider typeDentist

28Total paid$5K

24GClaims119

24DCodes billed3

24AFirst – last monthApr 2018 – Dec 2018

Compared with peers

Next to other Dentist providers in Missouri

Rank by total paid#235 of 284

Median peer was paid$109K

This provider vs. median0.0×

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	119	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	46%	34	28	$2K
D1206	Topical application of fluoride varnish	33%	55	49	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	22%	30	26	$1K

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.