Medicaid Provider Spending

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

ROBERSON FAMILY DENTAL, INC

NPI: 1881347235 · HUNTINGTON, WV 25702 · Dentist · NPI assigned 01/26/2022

$11K
Total Medicaid Paid
333
Total Claims
333
Beneficiaries
5
Codes Billed
2024-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialROBERSON, KENNETH (OWNER/PRESIDENT)
NPI Enumeration Date01/26/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 333 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 57 57 $3K
D1208 Topical application of fluoride, excluding varnish 129 129 $3K
D1120 Prophylaxis - child 63 63 $3K
D0120 Periodic oral evaluation - established patient 69 69 $2K
D0150 Comprehensive oral evaluation - new or established patient 15 15 $577.50