ROBERTS, SUSAN
NPI: 1114023736
· FT WORTH, TX 76137
· Pediatric Dentist
· NPI assigned 09/15/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
92 |
$2K |
| 2021 |
2,108 |
$44K |
| 2022 |
697 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
497 |
491 |
$18K |
| D0120 |
Periodic oral evaluation - established patient |
523 |
518 |
$15K |
| D0145 |
Oral evaluation for a patient under three years of age |
78 |
78 |
$11K |
| D1206 |
Topical application of fluoride varnish |
570 |
564 |
$8K |
| D0272 |
Bitewings - two radiographic images |
239 |
235 |
$5K |
| D0240 |
|
331 |
170 |
$3K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
31 |
29 |
$836.25 |
| D0330 |
Panoramic radiographic image |
18 |
18 |
$515.02 |
| D0601 |
|
340 |
337 |
$0.00 |
| D0602 |
|
226 |
221 |
$0.00 |
| D0603 |
|
44 |
44 |
$0.00 |