ROBERTS, JONATHAN
NPI: 1790843241
· COLUMBUS, IN 47201
· Dentist
· NPI assigned 12/05/2006
$106K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,701 |
$13K |
| 2019 |
774 |
$22K |
| 2020 |
937 |
$33K |
| 2021 |
333 |
$11K |
| 2022 |
112 |
$3K |
| 2023 |
597 |
$23K |
| 2024 |
26 |
$538.14 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
988 |
808 |
$36K |
| D0120 |
Periodic oral evaluation - established patient |
1,775 |
1,396 |
$30K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
461 |
220 |
$17K |
| D0274 |
Bitewings - four radiographic images |
405 |
345 |
$9K |
| D7140 |
Extraction, erupted tooth or exposed root |
173 |
53 |
$6K |
| D2140 |
|
198 |
103 |
$3K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
236 |
185 |
$2K |
| D1120 |
Prophylaxis - child |
125 |
116 |
$931.50 |
| D0220 |
Intraoral - periapical first radiographic image |
119 |
102 |
$773.94 |