Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KYLE J ROTH II, DDS, PA

NPI: 1518269356 · RALEIGH, NC 27615 · General Practice Dentistry · NPI assigned 11/30/2010

$63K
Total Medicaid Paid
2,949
Total Claims
2,637
Beneficiaries
10
Codes Billed
2018-01
First Month
2019-07
Last Month

Provider Details

Authorized OfficialBALDWIN, CHRISTY (BUSINESS MANAGER)
NPI Enumeration Date11/30/2010

Related Entities

Other providers sharing the same authorized official: BALDWIN, CHRISTY

ProviderCityStateTotal Paid
KYLE J ROTH III DDS PA GOLDSBORO NC $2.15M
CHANG AND RAMOS DDS PA DURHAM NC $832K
ROTH & POWELL IV DDS PA DURHAM NC $711K
ROTH & POWELL III DDS PA RALEIGH NC $288K
ROTH POWELL & MANN II DDS PA RALEIGH NC $33K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,703 $38K
2019 1,246 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 545 514 $12K
D1110 Prophylaxis - adult 309 291 $10K
D1120 Prophylaxis - child 284 260 $7K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 67 28 $7K
D1208 Topical application of fluoride, excluding varnish 448 413 $6K
D0274 Bitewings - four radiographic images 283 265 $6K
D0220 Intraoral - periapical first radiographic image 430 393 $6K
D0230 Intraoral - periapical each additional radiographic image 436 336 $5K
D0150 Comprehensive oral evaluation - new or established patient 132 123 $4K
D0140 Limited oral evaluation - problem focused 15 14 $508.02