Dental
Rosen, James
Rosen, James was paid $643K by Medicaid between Dec 2020 and Dec 2024, across 22 billing codes. Its largest line is D1354, — 20% of everything it billed.
33Billing provider infoROSEN, JAMES
PITTSBURGH, PA 15228
PITTSBURGH, PA 15228
33aNPI1649708066assigned 05/30/2017
33bProvider typePediatric Dentist
28Total paid$643K
24GClaims16,939
24DCodes billed22
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#35 of 237
Median peer was paid$109K
This provider vs. median5.9×
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 | |
|---|---|---|---|
| 2020 | 27 | $652.08 | |
| 2021 | 664 | $14K | |
| 2024incomplete | 16,248 | $628K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1354 | 20% | 1,748 | 1,056 | $126K | |
| D1351 | Sealant - per tooth | 15% | 3,477 | 510 | $99K |
| D9920 | 14% | 721 | 698 | $87K | |
| D1120 | Dental cleaning, childProphylaxis - child | 6.6% | 1,322 | 1,319 | $43K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.5% | 289 | 163 | $35K |
| D1208 | Topical application of fluoride, excluding varnish | 5.3% | 1,701 | 1,698 | $34K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.3% | 482 | 228 | $34K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.9% | 1,124 | 1,124 | $32K |
| D0140 | Limited oral evaluation - problem focused | 3.4% | 385 | 383 | $22K |
| D7140 | Extraction, erupted tooth or exposed root | 3.2% | 257 | 121 | $21K |
| D0330 | Panoramic radiographic image | 2.7% | 377 | 375 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 410 | 407 | $16K |
10 more codes
| D0272 | Bitewings - two radiographic images | 2.3% | 849 | $15K |
| D1310 | 2.3% | 1,361 | $15K | |
| D1330 | 2.2% | 1,291 | $14K | |
| D1110 | Prophylaxis - adult | 1.8% | 285 | $11K |
| D4346 | 1.3% | 199 | $9K | |
| D1206 | Topical application of fluoride varnish | 1.3% | 415 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 34 | $3K |
| D0603 | <1% | 153 | $1K | |
| D0240 | <1% | 43 | $1K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 16 | $880.00 |
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.