Dental
Robertson, Kirk
Robertson, Kirk was paid $14K by Medicaid between Jan 2018 and Aug 2023, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
33Billing provider infoROBERTSON, KIRK
FLAGSTAFF, AZ 86001
FLAGSTAFF, AZ 86001
33aNPI1699879700assigned 09/11/2006
33bProvider typePediatric Dentist
28Total paid$14K
24GClaims8,161
24DCodes billed22
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#126 of 223
Median peer was paid$24K
This provider vs. median0.6×
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 | 3,086 | $634.00 | |
| 2019 | 4,776 | $9K | |
| 2020 | 287 | $5K | |
| 2023 | 12 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 1,276 | 1,253 | $4K |
| D1206 | Topical application of fluoride varnish | 17% | 1,496 | 1,466 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.1% | 1,296 | 1,275 | $1K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.6% | 43 | 17 | $1K |
| D1351 | Sealant - per tooth | 6.8% | 492 | 138 | $987.24 |
| D0272 | Bitewings - two radiographic images | 6.4% | 587 | 572 | $924.40 |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.0% | 27 | 27 | $728.82 |
| D7140 | Extraction, erupted tooth or exposed root | 4.8% | 57 | 27 | $689.67 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.4% | 37 | 23 | $637.02 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.0% | 63 | 38 | $427.45 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.5% | 154 | 147 | $222.75 |
| D0145 | Oral evaluation for a patient under three years of age | 1.5% | 28 | 27 | $209.72 |
10 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 193 | $156.24 |
| D1354 | <1% | 58 | $116.10 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 44 | $64.20 |
| D1110 | Prophylaxis - adult | <1% | 94 | $47.56 |
| D0274 | Bitewings - four radiographic images | <1% | 13 | $29.99 |
| D0330 | Panoramic radiographic image | 0% | 12 | $0.00 |
| D1330 | 0% | 1,368 | $0.00 | |
| D0603 | 0% | 751 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 52 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 20 | $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.