Dental
Rosen, James
Rosen, James was paid $1.19M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is D1351, Sealant - per tooth — 14% of everything it billed.
33Billing provider infoROSEN, JAMES
PITTSBURGH, PA 15228
PITTSBURGH, PA 15228
33aNPI1427152594assigned 09/11/2006
33bProvider typeDentist
28Total paid$1.19M
24GClaims31,702
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#22 of 683
Median peer was paid$34K
This provider vs. median34×
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 | 945 | $23K | |
| 2019 | 402 | $10K | |
| 2020 | 2,526 | $96K | |
| 2021 | 11,304 | $431K | |
| 2022 | 24 | $607.20 | |
| 2023 | 478 | $14K | |
| 2024incomplete | 16,023 | $610K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 14% | 6,014 | 940 | $166K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 11% | 1,252 | 388 | $136K |
| D1354 | 11% | 1,533 | 1,011 | $128K | |
| D1120 | Dental cleaning, childProphylaxis - child | 8.9% | 3,197 | 3,187 | $106K |
| D9920 | 8.8% | 779 | 764 | $104K | |
| D1208 | Topical application of fluoride, excluding varnish | 6.7% | 3,940 | 3,929 | $80K |
| D7140 | Extraction, erupted tooth or exposed root | 6.7% | 1,119 | 431 | $79K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.3% | 1,104 | 526 | $74K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.0% | 3,101 | 3,092 | $71K |
| D0272 | Bitewings - two radiographic images | 3.4% | 2,225 | 2,217 | $40K |
| D0330 | Panoramic radiographic image | 3.3% | 909 | 907 | $39K |
| D1110 | Prophylaxis - adult | 3.0% | 874 | 872 | $35K |
14 more codes
| D0140 | Limited oral evaluation - problem focused | 2.3% | 456 | $27K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 1,012 | $25K |
| D1330 | 1.4% | 1,442 | $17K | |
| D1310 | 1.4% | 1,447 | $16K | |
| D4346 | <1% | 272 | $12K | |
| D1206 | Topical application of fluoride varnish | <1% | 372 | $7K |
| D0240 | <1% | 395 | $7K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 75 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 37 | $3K |
| D2332 | <1% | 42 | $3K | |
| D2335 | <1% | 24 | $2K | |
| D9110 | <1% | 44 | $1K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 18 | $990.00 |
| D0603 | <1% | 19 | $190.00 |
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.