Dental
R Ted Roberts DDS PA
R Ted Roberts DDS PA was paid $718K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is D1351, Sealant - per tooth — 28% of everything it billed.
33Billing provider infoR TED ROBERTS DDS PA
CLARKSDALE, MS 38614
CLARKSDALE, MS 38614
33aNPI1164524328assigned 09/01/2006
33bProvider typeDentist
28Total paid$718K
24GClaims31,685
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in Mississippi
Rank by total paid#29 of 261
Median peer was paid$64K
This provider vs. median11×
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 | 9,610 | $80K | |
| 2019 | 5,252 | $149K | |
| 2020 | 3,492 | $87K | |
| 2021 | 5,813 | $170K | |
| 2022 | 2,419 | $69K | |
| 2023 | 1,746 | $57K | |
| 2024incomplete | 3,353 | $106K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 28% | 8,209 | 995 | $204K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 5,271 | 3,932 | $114K |
| D0210 | Intraoral - complete series of radiographic images | 10% | 1,632 | 1,207 | $73K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.5% | 2,336 | 2,227 | $61K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.3% | 2,680 | 1,508 | $52K |
| D1208 | Topical application of fluoride, excluding varnish | 6.9% | 4,463 | 3,151 | $49K |
| D0140 | Limited oral evaluation - problem focused | 5.4% | 1,438 | 1,038 | $39K |
| D0272 | Bitewings - two radiographic images | 4.7% | 2,565 | 1,792 | $34K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.7% | 756 | 196 | $26K |
| D7140 | Extraction, erupted tooth or exposed root | 2.4% | 399 | 163 | $17K |
| D1206 | Topical application of fluoride varnish | 2.3% | 575 | 569 | $16K |
| D0330 | Panoramic radiographic image | 1.8% | 316 | 268 | $13K |
3 more codes
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.
From NPPES
Who's on the registration
Authorized officialROBERTS, R (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| R Scott Roberts DDS PC | North Bend, OR | $1.69M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.