Roberts, Annie

Roberts, Annie was paid $43K by Medicaid between Mar 2018 and Nov 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 52% of everything it billed.

33Billing provider infoROBERTS, ANNIE
LA CYGNE, KS 66040

33aNPI1043748411assigned 05/31/2017

33bProvider typeDentist

28Total paid$43K

24GClaims1,538

24DCodes billed9

24AFirst – last monthMar 2018 – Nov 2024

Compared with peers

Next to other Dentist providers in Kansas

Rank by total paid#59 of 112

Median peer was paid$52K

This provider vs. median0.8×

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	43	$853.00
2019	77	$2K
2020	156	$5K
2021	321	$10K
2022	369	$11K
2023	407	$11K
2024incomplete	165	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	52%	568	524	$22K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	35%	755	698	$15K
D0274	Bitewings - four radiographic images	3.6%	57	50	$2K
D0150	Comprehensive oral evaluation - new or established patient	2.3%	34	33	$980.00
D1120	Dental cleaning, childProphylaxis - child	2.0%	27	26	$866.50
D0330	Panoramic radiographic image	1.9%	31	26	$795.40
D0272	Bitewings - two radiographic images	1.3%	27	25	$554.64
D1206	Topical application of fluoride varnish	1.2%	27	26	$491.00
D1208	Topical application of fluoride, excluding varnish	<1%	12	12	$216.24

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.