Dental
Rolon, Arielle
Rolon, Arielle was paid $2K by Medicaid between Nov 2020 and Nov 2020, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 36% of everything it billed.
33Billing provider infoROLON, ARIELLE
MONROE, NY 10950
MONROE, NY 10950
33aNPI1871089755assigned 07/03/2018
33bProvider typeDentist
28Total paid$2K
24GClaims78
24DCodes billed5
24AFirst – last monthNov 2020 – Nov 2020
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#1,437 of 1,649
Median peer was paid$49K
This provider vs. median0.0×
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 | 78 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 36% | 14 | 14 | $630.00 |
| D1206 | Topical application of fluoride varnish | 36% | 20 | 20 | $625.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 15 | 15 | $375.00 |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 15 | 15 | $75.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 2.4% | 14 | 14 | $42.00 |
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.