Henry, Rolin

Henry, Rolin was paid $11K by Medicaid between Oct 2019 and Aug 2023, across 3 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 67% of everything it billed.

33Billing provider infoHENRY, ROLIN
ALEXANDRIA, VA 22306

33aNPI1720259807assigned 03/17/2008

33bProvider typeOral and Maxillofacial Surgery (Dentist)

28Total paid$11K

24GClaims118

24DCodes billed3

24AFirst – last monthOct 2019 – Aug 2023

Compared with peers

Next to other Oral and Maxillofacial Surgery (Dentist) providers in Virginia

Rank by total paid#51 of 70

Median peer was paid$87K

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	46	$4K
2020	60	$5K
2023	12	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	67%	50	31	$7K
D0140	Limited oral evaluation - problem focused	23%	56	55	$2K
D9310		10%	12	12	$1K

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.