Roberts, Susan

Roberts, Susan was paid $60K by Medicaid between Dec 2020 and Jul 2022, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.

33Billing provider infoROBERTS, SUSAN
FT WORTH, TX 76137

33aNPI1114023736assigned 09/15/2006

33bProvider typePediatric Dentist

28Total paid$60K

24GClaims2,897

24DCodes billed11

24AFirst – last monthDec 2020 – Jul 2022

Compared with peers

Next to other Pediatric Dentist providers in Texas

Rank by total paid#469 of 693

Median peer was paid$252K

This provider vs. median0.2×

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
2020	92	$2K
2021	2,108	$44K
2022	697	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	29%	497	491	$18K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	25%	523	518	$15K
D0145	Oral evaluation for a patient under three years of age	18%	78	78	$11K
D1206	Topical application of fluoride varnish	13%	570	564	$8K
D0272	Bitewings - two radiographic images	7.9%	239	235	$5K
D0240		4.5%	331	170	$3K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	1.4%	31	29	$836.25
D0330	Panoramic radiographic image	<1%	18	18	$515.02
D0601		0%	340	337	$0.00
D0602		0%	226	221	$0.00
D0603		0%	44	44	$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.