DR JON M. ROBERTS FAMILY DENTISTRY PC
NPI: 1952783722
· COLUMBUS, IN 47203
· Dentist
· NPI assigned 06/29/2015
Provider Details
| Authorized Official | ROBERTS, JON (PRESIDENT/DENTIST) |
| NPI Enumeration Date | 06/29/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
386 |
$15K |
| 2020 |
396 |
$7K |
| 2021 |
1,012 |
$35K |
| 2022 |
767 |
$21K |
| 2023 |
152 |
$4K |
| 2024 |
359 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
762 |
549 |
$30K |
| D0120 |
Periodic oral evaluation - established patient |
1,487 |
1,074 |
$27K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
160 |
61 |
$12K |
| D7140 |
Extraction, erupted tooth or exposed root |
115 |
48 |
$8K |
| D0274 |
Bitewings - four radiographic images |
246 |
164 |
$7K |
| D2140 |
|
82 |
47 |
$4K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
112 |
86 |
$3K |
| D1120 |
Prophylaxis - child |
65 |
56 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
43 |
25 |
$348.53 |