Dental
Kyle J Roth II, DDS, PA
Kyle J Roth II, DDS, PA was paid $63K by Medicaid between Jan 2018 and Jul 2019, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 19% of everything it billed.
33Billing provider infoKYLE J ROTH II, DDS, PA
RALEIGH, NC 27615
RALEIGH, NC 27615
33aNPI1518269356assigned 11/30/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$63K
24GClaims2,949
24DCodes billed10
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other General Practice Dentistry providers in North Carolina
Rank by total paid#444 of 756
Median peer was paid$121K
This provider vs. median0.5×
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 | 1,703 | $38K | |
| 2019 | 1,246 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 545 | 514 | $12K |
| D1110 | Prophylaxis - adult | 16% | 309 | 291 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 284 | 260 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 67 | 28 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 448 | 413 | $6K |
| D0274 | Bitewings - four radiographic images | 9.7% | 283 | 265 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 9.0% | 430 | 393 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.3% | 436 | 336 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.8% | 132 | 123 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 15 | 14 | $508.02 |
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.
From NPPES
Who's on the registration
Authorized officialBALDWIN, CHRISTY (BUSINESS MANAGER)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.