Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ROLLER FAMILY DENTISTRY, PLC

NPI: 1861723793 · WAYNESBORO, VA 22980 · Dentist · NPI assigned 01/15/2010

$100K
Total Medicaid Paid
4,200
Total Claims
4,173
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialROLLER, JOHN (OWNER, DENTIST)
Parent OrganizationJOHN R. ROLLER,D.D.S.
NPI Enumeration Date01/15/2010

Related Entities

Other providers sharing the same authorized official: ROLLER, JOHN

ProviderCityStateTotal Paid
ROLLER ENTERPRISES LLC HOLLISTER MO $53.07

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal 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