Roth, Elisa

Roth, Elisa was paid $335K by Medicaid between Jan 2018 and Apr 2021, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.

33Billing provider infoROTH, ELISA
CAMP LEJEUNE, NC 28547

33aNPI1790981298assigned 06/22/2007

33bProvider typeDentist

28Total paid$335K

24GClaims10,990

24DCodes billed14

24AFirst – last monthJan 2018 – Apr 2021

Compared with peers

Next to other Dentist providers in North Carolina

Rank by total paid#159 of 402

Median peer was paid$154K

This provider vs. median2.2×

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	3,797	$115K
2019	3,109	$110K
2020	2,523	$70K
2021	1,561	$41K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	29%	2,476	2,383	$96K
D2930	Prefabricated stainless steel crown - primary tooth	18%	548	239	$62K
D1208	Topical application of fluoride, excluding varnish	18%	2,453	2,365	$61K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	2,212	2,135	$59K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	4.8%	640	581	$16K
D0272	Bitewings - two radiographic images	3.0%	1,115	1,062	$10K
D7140	Extraction, erupted tooth or exposed root	2.4%	151	75	$8K
D0150	Comprehensive oral evaluation - new or established patient	2.3%	381	359	$8K
D1351	Sealant - per tooth	2.2%	144	70	$7K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	66	54	$3K
D0220	Intraoral - periapical first radiographic image	<1%	569	538	$3K
D0330	Panoramic radiographic image	<1%	55	55	$1K

2 more codes

D0230	Intraoral - periapical each additional radiographic image	<1%	166	$809.40
D0140	Limited oral evaluation - problem focused	<1%	14	$162.00

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.