Medicaid Provider Spending

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

NPI: 1669641098 · FORT SMITH, AR 72903 · General Practice Dentistry · NPI assigned 02/29/2008

$13K
Total Medicaid Paid
473
Total Claims
197
Beneficiaries
3
Codes Billed
2018-07
First Month
2019-10
Last Month

Provider Details

Authorized OfficialROBERTS, RAYMOND (DENTIST)
Parent OrganizationKENDALL ROBERTS DDS PC
NPI Enumeration Date02/29/2008

Related Entities

Other providers sharing the same authorized official: ROBERTS, RAYMOND

ProviderCityStateTotal Paid
RAYMOND ROBERTS, DPM, LTD RENO NV $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 94 $2K
2019 379 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 376 157 $9K
D1110 Prophylaxis - adult 67 28 $3K
D1208 Topical application of fluoride, excluding varnish 30 12 $598.50