Dental
Pendleton, Rodney
Pendleton, Rodney was paid $545K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D1110, Prophylaxis - adult — 20% of everything it billed.
33Billing provider infoPENDLETON, RODNEY
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
33aNPI1508806605assigned 06/07/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$545K
24GClaims13,579
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Louisiana
Rank by total paid#86 of 412
Median peer was paid$83K
This provider vs. median6.5×
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 | 2,925 | $112K | |
| 2019 | 2,901 | $117K | |
| 2020 | 1,825 | $77K | |
| 2021 | 1,664 | $66K | |
| 2022 | 1,351 | $47K | |
| 2023 | 1,662 | $67K | |
| 2024incomplete | 1,251 | $59K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 20% | 2,382 | 2,235 | $110K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 3,188 | 3,081 | $88K |
| D0210 | Intraoral - complete series of radiographic images | 15% | 1,385 | 1,303 | $82K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 711 | 401 | $66K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.8% | 1,372 | 1,356 | $48K |
| D1208 | Topical application of fluoride, excluding varnish | 6.3% | 1,700 | 1,676 | $34K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 505 | 427 | $21K |
| D2950 | 3.4% | 139 | 117 | $18K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.4% | 162 | 92 | $13K |
| D2931 | 1.6% | 37 | 25 | $9K | |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 575 | 535 | $8K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 526 | 504 | $7K |
9 more codes
| D0272 | Bitewings - two radiographic images | 1.2% | 319 | $7K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 1.2% | 15 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 91 | $7K |
| D1351 | Sealant - per tooth | 1.1% | 208 | $6K |
| D2160 | <1% | 51 | $5K | |
| D1206 | Topical application of fluoride varnish | <1% | 152 | $4K |
| D2140 | <1% | 33 | $2K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 16 | $2K |
| D0330 | Panoramic radiographic image | <1% | 12 | $627.55 |
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.