Dental
Raber, Bobby
Raber, Bobby was paid $25K by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.
33Billing provider infoRABER, BOBBY
PRESCOTT VALLEY, AZ 86314
PRESCOTT VALLEY, AZ 86314
33aNPI1063466977assigned 05/22/2006
33bProvider typePediatric Dentist
28Total paid$25K
24GClaims33,964
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#111 of 223
Median peer was paid$24K
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 | 8,071 | $14K | |
| 2019 | 7,113 | $0.00 | |
| 2020 | 124 | $0.00 | |
| 2021 | 5,032 | $4K | |
| 2022 | 11,733 | $5K | |
| 2023 | 803 | $1K | |
| 2024incomplete | 1,088 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 2,178 | 947 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 4,818 | 4,736 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 2,177 | 2,118 | $3K |
| D1110 | Prophylaxis - adult | 10% | 1,795 | 1,752 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.3% | 1,628 | 910 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 5.8% | 3,225 | 3,150 | $1K |
| D0274 | Bitewings - four radiographic images | 4.6% | 902 | 883 | $1K |
| D1206 | Topical application of fluoride varnish | 4.5% | 3,227 | 3,188 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | 3.9% | 640 | 340 | $959.75 |
| D1351 | Sealant - per tooth | 3.4% | 1,267 | 348 | $838.90 |
| D0272 | Bitewings - two radiographic images | 3.0% | 2,123 | 2,084 | $738.13 |
| D9248 | 2.2% | 486 | 466 | $548.04 |
13 more codes
| D0120 | Dental checkup, returning patient | 2.2% | 3,530 | $538.88 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.0% | 955 | $495.50 |
| D0145 | Oral evaluation for a patient under three years of age | 1.7% | 597 | $425.48 |
| D0330 | Panoramic radiographic image | 1.7% | 219 | $417.06 |
| D0140 | Limited oral evaluation - problem focused | 1.6% | 545 | $390.33 |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 1,708 | $366.03 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,085 | $190.74 |
| D2930 | Prefabricated stainless steel crown - primary tooth | 0% | 267 | $0.00 |
| D1354 | 0% | 26 | $0.00 | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 0% | 81 | $0.00 |
| D0603 | 0% | 370 | $0.00 | |
| D0602 | 0% | 62 | $0.00 | |
| D0601 | 0% | 53 | $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.