Rosenfeld, Jason

Rosenfeld, Jason was paid $172K by Medicaid between Jan 2020 and Oct 2020, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.

33Billing provider infoROSENFELD, JASON
ROSLYN HEIGHTS, NY 11577

33aNPI1821547746assigned 10/04/2016

33bProvider typePediatric Dentist

28Total paid$172K

24GClaims5,358

24DCodes billed17

24AFirst – last monthJan 2020 – Oct 2020

Compared with peers

Next to other Pediatric Dentist providers in New York

Rank by total paid#272 of 514

Median peer was paid$196K

This provider vs. median0.9×

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	5,358	$172K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	15%	622	622	$25K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	858	858	$24K
D1351	Sealant - per tooth	10%	429	116	$18K
D0274	Bitewings - four radiographic images	9.9%	617	617	$17K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	8.5%	215	122	$15K
D1110	Prophylaxis - adult	8.5%	266	266	$15K
D2391	Resin-based composite - one surface, posterior, primary or permanent	6.4%	220	138	$11K
D0230	Intraoral - periapical each additional radiographic image	6.1%	814	813	$11K
D2930	Prefabricated stainless steel crown - primary tooth	6.1%	97	53	$10K
D1208	Topical application of fluoride, excluding varnish	4.7%	612	612	$8K
D1206	Topical application of fluoride varnish	4.6%	278	278	$8K
D7140	Extraction, erupted tooth or exposed root	2.5%	78	49	$4K

5 more codes

D1354		1.5%	70	$3K
D0272	Bitewings - two radiographic images	1.0%	112	$2K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	<1%	15	$1K
D0220	Intraoral - periapical first radiographic image	<1%	38	$513.10
D0145	Oral evaluation for a patient under three years of age	<1%	17	$484.50

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.