Dental
Richter, Roger
Richter, Roger was paid $6K by Medicaid between Jul 2024 and Nov 2024, across 8 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 23% of everything it billed.
33Billing provider infoRICHTER, ROGER
MOORE, OK 73160
MOORE, OK 73160
33aNPI1902397185assigned 05/23/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$6K
24GClaims325
24DCodes billed8
24AFirst – last monthJul 2024 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Oklahoma
Rank by total paid#241 of 284
Median peer was paid$172K
This provider vs. median0.0×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 325 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 23% | 78 | 78 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 56 | 56 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 15% | 60 | 60 | $923.55 |
| D1110 | Prophylaxis - adult | 13% | 18 | 18 | $823.14 |
| D0330 | Panoramic radiographic image | 9.5% | 12 | 12 | $605.08 |
| D0230 | Intraoral - periapical each additional radiographic image | 9.2% | 75 | 41 | $582.44 |
| D0274 | Bitewings - four radiographic images | 6.6% | 14 | 14 | $416.72 |
| D1120 | Dental cleaning, childProphylaxis - child | 5.8% | 12 | 12 | $365.88 |
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.