Dental
Rodriguez, Edwin
Rodriguez, Edwin was paid $31K by Medicaid between Aug 2020 and Nov 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 65% of everything it billed.
33Billing provider infoRODRIGUEZ, EDWIN
ELIZABETH, NJ 07202
ELIZABETH, NJ 07202
33aNPI1427222769assigned 04/17/2008
33bProvider typeDentist
28Total paid$31K
24GClaims1,420
24DCodes billed8
24AFirst – last monthAug 2020 – Nov 2024
Compared with peers
Next to other Dentist providers in New Jersey
Rank by total paid#322 of 674
Median peer was paid$27K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2020 | 61 | $933.00 | |
| 2021 | 176 | $2K | |
| 2022 | 469 | $9K | |
| 2023 | 301 | $9K | |
| 2024incomplete | 413 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 65% | 481 | 466 | $20K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 175 | 170 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 6.9% | 450 | 423 | $2K |
| D0140 | Limited oral evaluation - problem focused | 4.7% | 34 | 33 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.7% | 178 | 171 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 39 | 39 | $975.00 |
| D0210 | Intraoral - complete series of radiographic images | 1.7% | 12 | 12 | $540.00 |
| D0274 | Bitewings - four radiographic images | 1.7% | 51 | 49 | $540.00 |
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.