Dental
DR Jon M. Roberts Family Dentistry PC
DR Jon M. Roberts Family Dentistry PC was paid $93K by Medicaid between Jul 2019 and Nov 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.
33Billing provider infoDR JON M. ROBERTS FAMILY DENTISTRY PC
COLUMBUS, IN 47203
COLUMBUS, IN 47203
33aNPI1952783722assigned 06/29/2015
33bProvider typeDentist
28Total paid$93K
24GClaims3,072
24DCodes billed9
24AFirst – last monthJul 2019 – Nov 2024
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#202 of 452
Median peer was paid$59K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2019 | 386 | $15K | |
| 2020 | 396 | $7K | |
| 2021 | 1,012 | $35K | |
| 2022 | 767 | $21K | |
| 2023 | 152 | $4K | |
| 2024incomplete | 359 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 32% | 762 | 549 | $30K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 29% | 1,487 | 1,074 | $27K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 13% | 160 | 61 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | 8.6% | 115 | 48 | $8K |
| D0274 | Bitewings - four radiographic images | 7.8% | 246 | 164 | $7K |
| D2140 | 4.7% | 82 | 47 | $4K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.4% | 112 | 86 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.0% | 65 | 56 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 43 | 25 | $348.53 |
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.
From NPPES
Who's on the registration
Authorized officialROBERTS, JON (PRESIDENT/DENTIST)