Roberson, Jeffrey

Roberson, Jeffrey was paid $56K by Medicaid between Jan 2018 and Dec 2021, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 89% of everything it billed.

33Billing provider infoROBERSON, JEFFREY
WEST JORDAN, UT 84088

33aNPI1710116041assigned 07/08/2009

33bProvider typeDentist

28Total paid$56K

24GClaims1,705

24DCodes billed8

24AFirst – last monthJan 2018 – Dec 2021

Compared with peers

Next to other Dentist providers in Utah

Rank by total paid#61 of 136

Median peer was paid$35K

This provider vs. median1.6×

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	273	$7K
2019	640	$18K
2020	531	$19K
2021	261	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	89%	441	434	$50K
D0274	Bitewings - four radiographic images	9.0%	79	79	$5K
D0220	Intraoral - periapical first radiographic image	1.9%	341	334	$1K
D1120	Dental cleaning, childProphylaxis - child	<1%	241	234	$165.58
D1110	Prophylaxis - adult	0%	28	28	$0.00
D0272	Bitewings - two radiographic images	0%	15	13	$0.00
D0230	Intraoral - periapical each additional radiographic image	0%	230	199	$0.00
D1206	Topical application of fluoride varnish	0%	330	330	$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.