Dental
Robertson, Wesley
Robertson, Wesley was paid $335K by Medicaid between Aug 2020 and Dec 2024, across 24 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoROBERTSON, WESLEY
PHILADELPHIA, PA 19152
PHILADELPHIA, PA 19152
33aNPI1164909982assigned 07/24/2018
33bProvider typeDentist
28Total paid$335K
24GClaims13,196
24DCodes billed24
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#83 of 683
Median peer was paid$34K
This provider vs. median9.7×
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 | 1,475 | $41K | |
| 2021 | 8,903 | $228K | |
| 2022 | 26 | $509.00 | |
| 2023 | 24 | $240.00 | |
| 2024incomplete | 2,768 | $66K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 1,862 | 1,850 | $53K |
| D1206 | Topical application of fluoride varnish | 13% | 2,251 | 2,238 | $43K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 740 | 479 | $42K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,792 | 1,779 | $37K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 10.0% | 367 | 272 | $34K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 9.2% | 898 | 821 | $31K |
| D0272 | Bitewings - two radiographic images | 4.7% | 929 | 924 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 257 | 189 | $12K |
| D1110 | Prophylaxis - adult | 3.3% | 268 | 266 | $11K |
| D1330 | 2.9% | 1,384 | 1,380 | $10K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 477 | 476 | $9K |
| D7140 | Extraction, erupted tooth or exposed root | 2.6% | 157 | 122 | $9K |
12 more codes
| D0274 | Bitewings - four radiographic images | 2.0% | 241 | $7K |
| D1310 | 1.8% | 565 | $6K | |
| D1351 | Sealant - per tooth | 1.4% | 196 | $5K |
| D0330 | Panoramic radiographic image | 1.3% | 111 | $4K |
| D0601 | <1% | 174 | $2K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 205 | $2K |
| D0603 | <1% | 155 | $1K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 20 | $1K |
| D8670 | Periodic orthodontic treatment visit | <1% | 12 | $922.10 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 26 | $438.74 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 54 | $429.13 |
| D1999 | 0% | 55 | $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.