RICHARD C. ROBERTSON DDS PLC
NPI: 1437302551
· CALEDONIA, MI 49316
· Dentist
· NPI assigned 11/03/2008
Provider Details
Related Entities
Other providers sharing the same authorized official: ROBERTSON, RICHARD
| Provider | City | State | Total Paid |
| XRS LLC |
COLUMBUS |
IN |
$0.00 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
110 |
$3K |
| 2019 |
66 |
$2K |
| 2020 |
56 |
$1K |
| 2021 |
63 |
$1K |
| 2022 |
42 |
$758.28 |
| 2023 |
31 |
$780.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
238 |
238 |
$5K |
| D1120 |
Prophylaxis - child |
76 |
76 |
$3K |
| D1206 |
Topical application of fluoride varnish |
54 |
54 |
$1K |