ROLLER FAMILY DENTISTRY, PLC
NPI: 1861723793
· WAYNESBORO, VA 22980
· Dentist
· NPI assigned 01/15/2010
$100K
Total Medicaid Paid
Provider Details
| Authorized Official | ROLLER, JOHN (OWNER, DENTIST) |
| Parent Organization | JOHN R. ROLLER,D.D.S. |
| NPI Enumeration Date | 01/15/2010 |
Related Entities
Other providers sharing the same authorized official: ROLLER, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,123 |
$30K |
| 2019 |
851 |
$21K |
| 2020 |
464 |
$11K |
| 2021 |
594 |
$15K |
| 2022 |
570 |
$17K |
| 2023 |
428 |
$6K |
| 2024 |
170 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
1,573 |
1,564 |
$29K |
| D1206 |
Topical application of fluoride varnish |
1,429 |
1,420 |
$27K |
| D1110 |
Prophylaxis - adult |
605 |
601 |
$27K |
| D1120 |
Prophylaxis - child |
481 |
478 |
$15K |
| D0274 |
Bitewings - four radiographic images |
112 |
110 |
$3K |