ROBERTSON, MATTHEW
NPI: 1750343802
· WICHITA, KS 67206
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 04/04/2006
$1.21M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
1,459 |
$113K |
| 2020 |
2,532 |
$211K |
| 2021 |
2,815 |
$166K |
| 2022 |
6,432 |
$509K |
| 2023 |
2,479 |
$212K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D7240 |
Removal of impacted tooth - completely bony |
3,076 |
944 |
$525K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
2,417 |
1,409 |
$193K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,137 |
357 |
$133K |
| D9222 |
|
1,620 |
1,456 |
$130K |
| D0140 |
Limited oral evaluation - problem focused |
1,774 |
1,641 |
$58K |
| D7241 |
|
186 |
76 |
$45K |
| D7230 |
|
256 |
170 |
$41K |
| D9219 |
|
973 |
904 |
$27K |
| D9610 |
|
1,598 |
1,450 |
$26K |
| D0330 |
Panoramic radiographic image |
633 |
579 |
$20K |
| D7220 |
|
83 |
60 |
$9K |
| D9310 |
|
61 |
61 |
$2K |
| D7922 |
|
1,903 |
708 |
$0.00 |