ROTH & NORTON FAMILY DENTISTRY
NPI: 1528608395
· FAIRFIELD, IA 52556
· Dentist
· NPI assigned 01/09/2020
$355K
Total Medicaid Paid
Provider Details
| Authorized Official | ROTH, AMY (OFFICE MANAGER) |
| NPI Enumeration Date | 01/09/2020 |
Related Entities
Other providers sharing the same authorized official: ROTH, AMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
3,061 |
$57K |
| 2021 |
3,222 |
$73K |
| 2022 |
3,084 |
$73K |
| 2023 |
3,210 |
$78K |
| 2024 |
2,811 |
$74K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
2,933 |
2,841 |
$110K |
| D0120 |
Periodic oral evaluation - established patient |
4,720 |
4,477 |
$87K |
| D1120 |
Prophylaxis - child |
2,132 |
1,934 |
$57K |
| D1206 |
Topical application of fluoride varnish |
3,427 |
3,175 |
$56K |
| D0274 |
Bitewings - four radiographic images |
1,401 |
1,353 |
$33K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
255 |
217 |
$5K |
| D0272 |
Bitewings - two radiographic images |
270 |
216 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
198 |
170 |
$2K |
| D0330 |
Panoramic radiographic image |
22 |
14 |
$367.50 |
| D0140 |
Limited oral evaluation - problem focused |
14 |
12 |
$314.72 |
| D1354 |
|
16 |
12 |
$42.96 |