Dental
Roten, Donald
Roten, Donald was paid $81K by Medicaid between Jan 2018 and Jun 2023, across 9 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 27% of everything it billed.
33Billing provider infoROTEN, DONALD
RIPLEY, MS 38663
RIPLEY, MS 38663
33aNPI1982626826assigned 07/23/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$81K
24GClaims4,030
24DCodes billed9
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other General Practice Dentistry providers in Mississippi
Rank by total paid#185 of 379
Median peer was paid$78K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2018 | 1,217 | $22K | |
| 2019 | 777 | $19K | |
| 2020 | 760 | $15K | |
| 2021 | 576 | $12K | |
| 2022 | 526 | $10K | |
| 2023 | 174 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 27% | 668 | 529 | $22K |
| D0220 | Intraoral - periapical first radiographic image | 16% | 1,256 | 1,046 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 415 | 343 | $12K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 473 | 397 | $11K |
| D0272 | Bitewings - two radiographic images | 10% | 565 | 486 | $8K |
| D0330 | Panoramic radiographic image | 9.6% | 184 | 159 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 7.6% | 424 | 365 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 15 | 14 | $396.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 30 | 13 | $263.40 |
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.