ROBERT D KILGORE, D.M.D., P.C
NPI: 1942494364
· WISE, VA 24293
· General Practice Dentistry
· NPI assigned 08/29/2007
$130K
Total Medicaid Paid
Provider Details
| Authorized Official | KILGORE, ROBERT (DENTIST) |
| NPI Enumeration Date | 08/29/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,552 |
$46K |
| 2019 |
1,313 |
$41K |
| 2020 |
736 |
$22K |
| 2021 |
800 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
807 |
799 |
$36K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
978 |
971 |
$29K |
| D1206 |
Topical application of fluoride varnish |
1,414 |
1,400 |
$28K |
| D1120 |
Prophylaxis - child |
456 |
452 |
$15K |
| D0274 |
Bitewings - four radiographic images |
241 |
238 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
331 |
330 |
$6K |
| D0330 |
Panoramic radiographic image |
106 |
106 |
$6K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
21 |
13 |
$2K |
| D2140 |
|
19 |
12 |
$1K |
| D0272 |
Bitewings - two radiographic images |
28 |
28 |
$564.20 |