Dental
Robleto, Indiana
Robleto, Indiana was paid $94K by Medicaid between Jan 2018 and Oct 2021, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 27% of everything it billed.
33Billing provider infoROBLETO, INDIANA
CHINO, CA 91710
CHINO, CA 91710
33aNPI1447390414assigned 02/07/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$94K
24GClaims7,884
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,577 of 2,668
Median peer was paid$173K
This provider vs. median0.5×
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 | 2,875 | $36K | |
| 2019 | 2,343 | $30K | |
| 2020 | 1,474 | $16K | |
| 2021 | 1,192 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 641 | 641 | $26K |
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 666 | 665 | $20K |
| D0230 | Intraoral - periapical each additional radiographic image | 20% | 4,770 | 919 | $19K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 13% | 191 | 101 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 9.8% | 892 | 891 | $9K |
| D0272 | Bitewings - two radiographic images | 8.9% | 724 | 723 | $8K |
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.