Dental
Whalen, Robert
Whalen, Robert was paid $171K by Medicaid between Jan 2018 and Feb 2021, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 35% of everything it billed.
33Billing provider infoWHALEN, ROBERT
MISSOULA, MT 59803
MISSOULA, MT 59803
33aNPI1336274109assigned 02/22/2007
33bProvider typeDentist
28Total paid$171K
24GClaims3,098
24DCodes billed13
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers
Next to other Dentist providers in Montana
Rank by total paid#20 of 95
Median peer was paid$38K
This provider vs. median4.4×
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 | 1,945 | $125K | |
| 2019 | 818 | $29K | |
| 2020 | 296 | $15K | |
| 2021 | 39 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 35% | 617 | 313 | $60K |
| D1110 | Prophylaxis - adult | 18% | 788 | 637 | $30K |
| D5214 | 8.6% | 15 | 15 | $15K | |
| D5213 | 8.1% | 16 | 15 | $14K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.8% | 73 | 59 | $12K |
| D0210 | Intraoral - complete series of radiographic images | 6.5% | 193 | 176 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.6% | 280 | 239 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.4% | 101 | 70 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 3.3% | 424 | 342 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.1% | 348 | 246 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 135 | 98 | $2K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 70 | 57 | $2K |
1 more codes
| D1206 | Topical application of fluoride varnish | <1% | 38 | $738.36 |
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.