Clinic
Bobby L Raber DMD PLLC
Bobby L Raber DMD PLLC was paid $2.30M by Medicaid between Dec 2022 and Dec 2024, across 24 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoBOBBY L RABER DMD PLLC
PRESCOTT VALLEY, AZ 86314
PRESCOTT VALLEY, AZ 86314
33aNPI1548850001assigned 01/19/2021
33bProvider typeDental Clinic/Center
28Total paid$2.30M
24GClaims57,144
24DCodes billed24
24AFirst – last monthDec 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Arizona
Rank by total paid#3 of 70
Median peer was paid$7K
This provider vs. median331×
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 | |
|---|---|---|---|
| 2022 | 1,402 | $53K | |
| 2023 | 24,758 | $1.01M | |
| 2024incomplete | 30,984 | $1.23M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 6,424 | 6,301 | $355K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 2,792 | 1,253 | $334K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.2% | 5,670 | 5,552 | $212K |
| D1206 | Topical application of fluoride varnish | 8.6% | 7,189 | 7,052 | $198K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.1% | 1,623 | 997 | $162K |
| D1110 | Prophylaxis - adult | 4.9% | 1,680 | 1,636 | $112K |
| D1351 | Sealant - per tooth | 4.8% | 3,184 | 894 | $109K |
| D0330 | Panoramic radiographic image | 4.6% | 1,571 | 1,552 | $107K |
| D7140 | Extraction, erupted tooth or exposed root | 4.1% | 874 | 484 | $94K |
| D0272 | Bitewings - two radiographic images | 4.0% | 3,206 | 3,144 | $92K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 1,585 | 1,569 | $88K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 3,868 | 3,712 | $68K |
12 more codes
| D0274 | Bitewings - four radiographic images | 2.8% | 1,590 | $64K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.4% | 4,159 | $54K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.1% | 1,463 | $49K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.9% | 260 | $45K |
| D1354 | 1.6% | 1,366 | $37K | |
| D0145 | Oral evaluation for a patient under three years of age | 1.5% | 827 | $35K |
| D0140 | Limited oral evaluation - problem focused | 1.4% | 684 | $33K |
| D9248 | 1.4% | 314 | $32K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 112 | $13K |
| D2332 | <1% | 19 | $3K | |
| D0603 | 0% | 6,660 | $0.00 | |
| D0602 | 0% | 24 | $0.00 |
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 officialCAMPBELL, MATT (PRACTICE ADMIN)