Roth, Gary

Roth, Gary was paid $37K by Medicaid between Jan 2018 and Dec 2019, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 63% of everything it billed.

33Billing provider infoROTH, GARY
FAIRFIELD, IA 52556

33aNPI1669555611assigned 10/23/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$37K

24GClaims1,387

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other General Practice Dentistry providers in Iowa

Rank by total paid#182 of 437

Median peer was paid$22K

This provider vs. median1.7×

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	566	$16K
2019	821	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	63%	647	635	$23K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	289	274	$5K
D0274	Bitewings - four radiographic images	10%	169	165	$4K
D1206	Topical application of fluoride varnish	6.6%	163	158	$2K
D1120	Dental cleaning, childProphylaxis - child	4.6%	71	68	$2K
D0272	Bitewings - two radiographic images	1.4%	30	29	$512.51
D0150	Comprehensive oral evaluation - new or established patient	<1%	18	16	$343.28

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.