Dental
Roth, John
Roth, John was paid $65K by Medicaid between Jan 2019 and Nov 2020, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoROTH, JOHN
OVERLAND PARK, KS 66223
OVERLAND PARK, KS 66223
33aNPI1881886943assigned 08/13/2007
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$65K
24GClaims2,709
24DCodes billed13
24AFirst – last monthJan 2019 – Nov 2020
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 | 464 | $10K | |
| 2020 | 2,245 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 552 | 534 | $16K |
| D1206 | Topical application of fluoride varnish | 19% | 721 | 695 | $12K |
| D0274 | Bitewings - four radiographic images | 16% | 366 | 354 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 385 | 371 | $8K |
| D1351 | Sealant - per tooth | 8.0% | 200 | 25 | $5K |
| D1110 | Prophylaxis - adult | 5.5% | 86 | 84 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.0% | 107 | 82 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 83 | 80 | $2K |
| D0330 | Panoramic radiographic image | 2.9% | 60 | 59 | $2K |
| D0272 | Bitewings - two radiographic images | 1.1% | 34 | 32 | $691.37 |
| D0240 | <1% | 23 | 12 | $400.68 | |
| D1330 | 0% | 31 | 31 | $0.00 |
1 more codes
| D1999 | 0% | 61 | $0.00 |
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.