Clinic
Roberson Family Dental PLLC
Roberson Family Dental PLLC was paid $46K by Medicaid between May 2021 and Jul 2021, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.
33Billing provider infoROBERSON FAMILY DENTAL PLLC
MARYVILLE, TN 37801
MARYVILLE, TN 37801
33aNPI1548761711assigned 02/23/2018
33bProvider typeDental Clinic/Center
28Total paid$46K
24GClaims1,109
24DCodes billed15
24AFirst – last monthMay 2021 – Jul 2021
Compared with peers
Next to other Dental Clinic/Center providers in Tennessee
Rank by total paid#34 of 40
Median peer was paid$259K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2021 | 1,109 | $46K |
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 | 21% | 130 | 66 | $10K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 17% | 90 | 41 | $8K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 15% | 13 | 12 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 7.9% | 136 | 124 | $4K |
| D1110 | Prophylaxis - adult | 5.9% | 65 | 65 | $3K |
| D2950 | 5.4% | 20 | 15 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | 5.1% | 112 | 112 | $2K |
| D0330 | Panoramic radiographic image | 4.4% | 60 | 59 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 66 | 65 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.0% | 78 | 78 | $2K |
| D0274 | Bitewings - four radiographic images | 3.6% | 63 | 62 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.6% | 49 | 49 | $2K |
3 more codes
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.
From NPPES
Who's on the registration
Authorized officialROBERSON, MARTIN (PRESIDENT)