Medicaid Provider Spending

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

BOBBY L RABER DMD PLLC

NPI: 1548850001 · PRESCOTT VALLEY, AZ 86314 · Dental Clinic/Center · NPI assigned 01/19/2021

$2.30M
Total Medicaid Paid
57,144
Total Claims
48,217
Beneficiaries
24
Codes Billed
2022-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCAMPBELL, MATT (PRACTICE ADMIN)
NPI Enumeration Date01/19/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 1,402 $53K
2023 24,758 $1.01M
2024 30,984 $1.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 6,424 6,301 $355K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,792 1,253 $334K
D0120 Periodic oral evaluation - established patient 5,670 5,552 $212K
D1206 Topical application of fluoride varnish 7,189 7,052 $198K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,623 997 $162K
D1110 Prophylaxis - adult 1,680 1,636 $112K
D1351 Sealant - per tooth 3,184 894 $109K
D0330 Panoramic radiographic image 1,571 1,552 $107K
D7140 Extraction, erupted tooth or exposed root 874 484 $94K
D0272 Bitewings - two radiographic images 3,206 3,144 $92K
D0150 Comprehensive oral evaluation - new or established patient 1,585 1,569 $88K
D0220 Intraoral - periapical first radiographic image 3,868 3,712 $68K
D0274 Bitewings - four radiographic images 1,590 1,554 $64K
D0230 Intraoral - periapical each additional radiographic image 4,159 2,701 $54K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1,463 1,392 $49K
D2930 Prefabricated stainless steel crown - primary tooth 260 119 $45K
D1354 1,366 590 $37K
D0145 Oral evaluation for a patient under three years of age 827 815 $35K
D0140 Limited oral evaluation - problem focused 684 655 $33K
D9248 314 306 $32K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 112 52 $13K
D2332 19 12 $3K
D0603 6,660 5,863 $0.00
D0602 24 12 $0.00