Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MATTHEW C ROLLER DDS LLC

NPI: 1346663390 · STAUNTON, VA 24401 · General Practice Dentistry · NPI assigned 01/28/2014

$10K
Total Medicaid Paid
469
Total Claims
469
Beneficiaries
5
Codes Billed
2018-01
First Month
2020-08
Last Month

Provider Details

Authorized OfficialROLLER, MATTHEW (DENTIST)
NPI Enumeration Date01/28/2014

Related Entities

Other providers sharing the same authorized official: ROLLER, MATTHEW

ProviderCityStateTotal Paid
ROLLER NEUROLOGY GRAND FORKS ND $170K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 286 $6K
2019 139 $2K
2020 44 $904.52

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 217 217 $4K
D0120 Periodic oral evaluation - established patient 201 201 $4K
D1120 Prophylaxis - child 27 27 $770.96
D1110 Prophylaxis - adult 12 12 $476.09
D0274 Bitewings - four radiographic images 12 12 $331.20