Dental
Roark, Kineshia
Roark, Kineshia was paid $1.20M by Medicaid between Jan 2018 and Mar 2021, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 14% of everything it billed.
33Billing provider infoROARK, KINESHIA
HATTIESBURG, MS 39402
HATTIESBURG, MS 39402
33aNPI1417009382assigned 01/18/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$1.20M
24GClaims48,314
24DCodes billed21
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers
Next to other General Practice Dentistry providers in Mississippi
Rank by total paid#27 of 379
Median peer was paid$78K
This provider vs. median15×
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 | 25,514 | $635K | |
| 2019 | 14,752 | $374K | |
| 2020 | 6,593 | $163K | |
| 2021 | 1,455 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 7,173 | 6,556 | $168K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 11% | 2,049 | 1,307 | $134K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 3,986 | 3,849 | $132K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 1,395 | 1,022 | $124K |
| D1351 | Sealant - per tooth | 9.0% | 5,619 | 1,703 | $108K |
| D1206 | Topical application of fluoride varnish | 6.4% | 3,863 | 3,708 | $77K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.7% | 3,237 | 2,803 | $69K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.1% | 2,818 | 2,378 | $61K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.5% | 470 | 317 | $54K |
| D0330 | Panoramic radiographic image | 4.0% | 1,344 | 1,260 | $48K |
| D0272 | Bitewings - two radiographic images | 3.7% | 2,932 | 2,683 | $44K |
| D0274 | Bitewings - four radiographic images | 3.4% | 1,917 | 1,735 | $41K |
9 more codes
| D1208 | Topical application of fluoride, excluding varnish | 3.3% | 3,250 | $40K |
| D0220 | Intraoral - periapical first radiographic image | 2.9% | 3,776 | $35K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 2,962 | $26K |
| D7140 | Extraction, erupted tooth or exposed root | 1.3% | 191 | $16K |
| D0210 | Intraoral - complete series of radiographic images | 1.2% | 216 | $14K |
| D0140 | Limited oral evaluation - problem focused | <1% | 153 | $6K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 14 | $1K |
| D2330 | <1% | 16 | $1K | |
| D1999 | 0% | 933 | $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.