Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › East Greenbush › NPI 1770974982
Dental

Hales, Robert

Hales, Robert was paid $26K by Medicaid between Dec 2019 and Dec 2024, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 35% of everything it billed.

33Billing provider infoHALES, ROBERT
EAST GREENBUSH, NY 12061
33aNPI1770974982assigned 02/10/2015
33bProvider typePediatric Dentist
28Total paid$26K
24GClaims886
24DCodes billed8
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in New York

Rank by total paid#398 of 514
Median peer was paid$196K
This provider vs. median0.1×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2019222$6K
2020181$5K
2023216$7K
2024incomplete267$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 35% 194 194 $9K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 26% 239 237 $7K
D1110 Prophylaxis - adult 16% 89 88 $4K
D1208 Topical application of fluoride, excluding varnish 7.6% 130 130 $2K
D0230 Intraoral - periapical each additional radiographic image 6.2% 104 102 $2K
D0274 Bitewings - four radiographic images 5.8% 87 86 $1K
D0150 Comprehensive oral evaluation - new or established patient 3.5% 30 30 $900.00
D0220 Intraoral - periapical first radiographic image <1% 13 13 $38.00

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.