Medicaid Provider Spending

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

RICHARD C. ROBERTSON DDS PLC

NPI: 1437302551 · CALEDONIA, MI 49316 · Dentist · NPI assigned 11/03/2008

$9K
Total Medicaid Paid
368
Total Claims
368
Beneficiaries
3
Codes Billed
2018-01
First Month
2023-07
Last Month

Provider Details

Authorized OfficialROBERTSON, RICHARD (MEMBER)
NPI Enumeration Date11/03/2008

Related Entities

Other providers sharing the same authorized official: ROBERTSON, RICHARD

ProviderCityStateTotal Paid
XRS LLC COLUMBUS IN $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 110 $3K
2019 66 $2K
2020 56 $1K
2021 63 $1K
2022 42 $758.28
2023 31 $780.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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