Dental
Rose, Kelly
Rose, Kelly was paid $493K by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.
33Billing provider infoROSE, KELLY
BUFFALO, NY 14209
BUFFALO, NY 14209
33aNPI1932167145assigned 05/04/2006
33bProvider typePediatric Dentist
28Total paid$493K
24GClaims39,889
24DCodes billed26
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#172 of 514
Median peer was paid$196K
This provider vs. median2.5×
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 | 14,936 | $134K | |
| 2019 | 9,025 | $93K | |
| 2020 | 8,081 | $78K | |
| 2021 | 3,262 | $46K | |
| 2022 | 1,764 | $52K | |
| 2023 | 1,554 | $48K | |
| 2024incomplete | 1,267 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 6,532 | 6,528 | $89K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 9,147 | 9,143 | $89K |
| D1110 | Prophylaxis - adult | 18% | 3,790 | 3,790 | $86K |
| D1206 | Topical application of fluoride varnish | 17% | 5,025 | 5,024 | $83K |
| D1208 | Topical application of fluoride, excluding varnish | 3.8% | 4,849 | 4,846 | $19K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.8% | 685 | 474 | $19K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.7% | 228 | 70 | $18K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 878 | 639 | $17K |
| D0330 | Panoramic radiographic image | 2.7% | 1,392 | 1,392 | $13K |
| D7140 | Extraction, erupted tooth or exposed root | 2.5% | 401 | 231 | $13K |
| D0272 | Bitewings - two radiographic images | 1.8% | 2,019 | 2,019 | $9K |
| D9997 | 1.6% | 232 | 232 | $8K |
14 more codes
| D1351 | Sealant - per tooth | 1.2% | 825 | $6K |
| D0274 | Bitewings - four radiographic images | 1.2% | 906 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 322 | $4K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 415 | $4K |
| D8670 | Periodic orthodontic treatment visit | <1% | 13 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 419 | $2K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 35 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 877 | $570.00 |
| D9310 | <1% | 23 | $551.00 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 142 | $488.60 |
| D8660 | <1% | 13 | $377.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 27 | $41.30 |
| D9995 | 0% | 13 | $0.00 | |
| D1999 | 0% | 681 | $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.