Dental
Roeder, Amy
Roeder, Amy was paid $166K by Medicaid between Jan 2018 and Mar 2019, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 22% of everything it billed.
33Billing provider infoROEDER, AMY
MURFREESBORO, TN 37128
MURFREESBORO, TN 37128
33aNPI1639386394assigned 05/16/2007
33bProvider typePediatric Dentist
28Total paid$166K
24GClaims5,154
24DCodes billed19
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Pediatric Dentist providers in Tennessee
Rank by total paid#76 of 112
Median peer was paid$1.03M
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2018 | 4,251 | $136K | |
| 2019 | 903 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 22% | 544 | 255 | $37K |
| D9248 | 13% | 272 | 251 | $21K | |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 695 | 669 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.6% | 531 | 507 | $14K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.3% | 104 | 52 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 6.2% | 569 | 548 | $10K |
| D7140 | Extraction, erupted tooth or exposed root | 5.8% | 162 | 82 | $10K |
| D0272 | Bitewings - two radiographic images | 5.6% | 565 | 542 | $9K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 5.2% | 120 | 63 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.2% | 320 | 313 | $7K |
| D0140 | Limited oral evaluation - problem focused | 3.3% | 242 | 233 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.6% | 100 | 92 | $3K |
7 more codes
| D1351 | Sealant - per tooth | 1.5% | 94 | $3K |
| D1206 | Topical application of fluoride varnish | 1.4% | 142 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 189 | $2K |
| D1110 | Prophylaxis - adult | <1% | 31 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 102 | $875.20 |
| D0330 | Panoramic radiographic image | <1% | 14 | $295.88 |
| D1330 | 0% | 358 | $0.00 |
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.