Dental
Edgar D. Roque, D.D.S., INC
Edgar D. Roque, D.D.S., INC was paid $344K by Medicaid between Jan 2018 and Oct 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 20% of everything it billed.
33Billing provider infoEDGAR D. ROQUE, D.D.S., INC
HANFORD, CA 93230
HANFORD, CA 93230
33aNPI1831581537assigned 03/04/2015
33bProvider typeDentist
28Total paid$344K
24GClaims11,218
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#918 of 2,314
Median peer was paid$185K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2018 | 3,522 | $65K | |
| 2019 | 2,092 | $68K | |
| 2020 | 1,497 | $50K | |
| 2021 | 1,156 | $38K | |
| 2022 | 1,335 | $50K | |
| 2023 | 1,001 | $47K | |
| 2024incomplete | 615 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 20% | 874 | 860 | $69K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 1,290 | 1,276 | $65K |
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 1,028 | 1,015 | $61K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 1,265 | 1,251 | $43K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.7% | 2,817 | 1,342 | $30K |
| D1208 | Topical application of fluoride, excluding varnish | 7.0% | 2,017 | 1,992 | $24K |
| D0210 | Intraoral - complete series of radiographic images | 6.8% | 499 | 496 | $23K |
| D0274 | Bitewings - four radiographic images | 4.0% | 665 | 657 | $14K |
| D1206 | Topical application of fluoride varnish | 1.5% | 303 | 300 | $5K |
| D9430 | <1% | 100 | 95 | $3K | |
| D0330 | Panoramic radiographic image | <1% | 130 | 121 | $3K |
| D1320 | <1% | 106 | 103 | $2K |
2 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.
From NPPES
Who's on the registration
Authorized officialROQUE, EDGAR (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Edgar D. Roque, D.D.S.,Inc | Fresno, CA | $1.51M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.