Dental
Belfon, Robert
Belfon, Robert was paid $346K by Medicaid between Jan 2018 and Jan 2023, across 21 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 19% of everything it billed.
33Billing provider infoBELFON, ROBERT
TSE BONITO, NM 87301
TSE BONITO, NM 87301
33aNPI1164540977assigned 03/27/2007
33bProvider typePediatric Dentist
28Total paid$346K
24GClaims7,855
24DCodes billed21
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Pediatric Dentist providers in New Mexico
Rank by total paid#20 of 44
Median peer was paid$240K
This provider vs. median1.4×
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 | 3,418 | $167K | |
| 2019 | 3,373 | $142K | |
| 2020 | 581 | $17K | |
| 2021 | 292 | $9K | |
| 2022 | 164 | $11K | |
| 2023 | 27 | $581.77 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 19% | 552 | 173 | $66K |
| D9248 | 13% | 709 | 521 | $44K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 13% | 559 | 175 | $44K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.0% | 860 | 843 | $31K |
| D7140 | Extraction, erupted tooth or exposed root | 5.8% | 276 | 105 | $20K |
| D1208 | Topical application of fluoride, excluding varnish | 5.6% | 1,070 | 1,049 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.6% | 500 | 491 | $19K |
| D1206 | Topical application of fluoride varnish | 5.1% | 909 | 900 | $18K |
| D0274 | Bitewings - four radiographic images | 3.0% | 350 | 343 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.5% | 139 | 68 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.4% | 339 | 335 | $8K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 2.4% | 17 | 13 | $8K |
9 more codes
| D0330 | Panoramic radiographic image | 2.3% | 158 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 336 | $8K |
| D0210 | Intraoral - complete series of radiographic images | 2.0% | 129 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 562 | $7K |
| D4341 | 1.9% | 12 | $7K | |
| D3230 | 1.2% | 43 | $4K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.1% | 161 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 85 | $3K |
| D1351 | Sealant - per tooth | <1% | 89 | $2K |
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.