Dental
Roque, Cheri
Roque, Cheri was paid $59K by Medicaid between Sep 2019 and Oct 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.
33Billing provider infoROQUE, CHERI
SMYRNA, TN 37167
SMYRNA, TN 37167
33aNPI1659537769assigned 07/29/2008
33bProvider typePediatric Dentist
28Total paid$59K
24GClaims7,169
24DCodes billed19
24AFirst – last monthSep 2019 – Oct 2024
Compared with peers
Next to other Pediatric Dentist providers in Tennessee
Rank by total paid#87 of 112
Median peer was paid$1.03M
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2019 | 41 | $30.00 | |
| 2020 | 323 | $2K | |
| 2021 | 2,336 | $21K | |
| 2022 | 3,954 | $25K | |
| 2023 | 33 | $292.85 | |
| 2024incomplete | 482 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 1,165 | 1,004 | $14K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 488 | 208 | $9K |
| D1206 | Topical application of fluoride varnish | 13% | 1,301 | 1,121 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 758 | 653 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 489 | 425 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.2% | 164 | 77 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.0% | 488 | 330 | $2K |
| D0330 | Panoramic radiographic image | 2.8% | 112 | 93 | $2K |
| D0272 | Bitewings - two radiographic images | 2.5% | 258 | 223 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 324 | 275 | $1K |
| D4346 | 2.2% | 27 | 27 | $1K | |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 186 | 70 | $1K |
7 more codes
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.