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Dr. Micah A Roberts , DMD

Dentist - General Practice • Peoria, IL

Active NPI 1760746747 Individual Practitioner Male Practitioner
Practice location in NPPES

4517 N Rockwood Dr
Peoria, IL 616153841

Call 3096930043 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4517 N Rockwood Dr

Peoria, IL 616153841

Telephone 3096930043
Fax 3096885643
Organization at the Same NPPES Address or Phone
Peoria Dental Care Facility NPI 1851909345

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

143 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$859 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $1,890.59 across 14 records.

By nature of payment (3 largest of 4)

  • Food and Beverage: $888.47 across 10 records.
  • Travel and Lodging: $576.42 across 1 record.
  • Education: $350.00 across 1 record.

Reporting-company totals (3 largest of 5)

  • Align Technology, Inc.: $1,759.76 across 10 records.
  • A-dec, Inc.: $67.00 across 1 record.
  • BioHorizons Implant Systems Inc.: $34.44 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Peoria and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 90% of clinicians listed under Dentist - General Practice in Peoria, IL (2024, 28 clinicians with data). Median for this group: 58. Middle half: 34 to 88.

More Part D prescriptions than 90% of clinicians listed under Dentist - General Practice in Illinois (2024, 2,448 clinicians with data). Median for this group: 41. Middle half: 21 to 79.

Part D drug cost

A higher Part D drug cost than 90% of clinicians listed under Dentist - General Practice in Peoria, IL (2024, 28 clinicians with data). Median for this group: $182. Middle half: $122 to $281.

A higher Part D drug cost than 95% of clinicians listed under Dentist - General Practice in Illinois (2024, 2,448 clinicians with data). Median for this group: $119. Middle half: $59 to $256.

68 active clinicians are listed under Dentist - General Practice with a practice address in Peoria, IL (5,281 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Peoria

0% of these 68 clinicians have the CMS telehealth indicator.

0% of these 68 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 14 records totaling $1,890.59.

Manufacturer Payment Nature Product Type Amount ($)
Align Technology, Inc.
Travel and Lodging
Cash or cash equivalent
Invisalign General $576.42
Align Technology, Inc.
Food and Beverage
Cash or cash equivalent
Invisalign General $443.21
Align Technology, Inc.
Education
Cash or cash equivalent
Invisalign General $350.00
Align Technology, Inc.
Food and Beverage
Cash or cash equivalent
Invisalign General $273.60
A-dec, Inc.
Gift
In-kind items and services
— General $67.00
Align Technology, Inc.
Food and Beverage
Cash or cash equivalent
Invisalign General $36.36
Align Technology, Inc.
Food and Beverage
Cash or cash equivalent
Invisalign General $34.65
BioHorizons Implant Systems Inc.
Food and Beverage
In-kind items and services
BioHorizons Dental Implants General $34.44
Align Technology, Inc.
Food and Beverage
Cash or cash equivalent
Invisalign General $17.52
Dentsply Sirona Inc
Food and Beverage
In-kind items and services
WaveOne Gold Conform Fit General $14.91
COLGATE ORAL PHARMACEUTICALS, INC.
Food and Beverage
In-kind items and services
— General $14.48
Align Technology, Inc.
Food and Beverage
Cash or cash equivalent
Invisalign General $10.97
Align Technology, Inc.
Gift
Cash or cash equivalent
Invisalign General $8.70
Align Technology, Inc.
Food and Beverage
Cash or cash equivalent
Invisalign General $8.33

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 80 646 $304.64 67
Clindamycin Hcl Clindamycin Hcl 31 278 $168.93 25
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 20 48 $74.80 18
Cyclobenzaprine Hcl Cyclobenzaprine Hcl 12 111 $310.92 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-10-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES IL 019029023

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist

NUCC Taxonomy Code: 122300000X

License # reported to NPPES IL 019.029023

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
NPI 1538613880

Doctor of Dental Medicine

Dr. Matthew Liesen , DMD

Dentist - General Practice

NPI 1619350725

Doctor of Dental Medicine

NPI 1326108846

Doctor of Dental Surgery

NPI 1851777064

Doctor of Dental Surgery

Dr. Robert Wynn , DMD

Dentist - General Practice

NPI 1144352170

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
📍
Updated Practice Location October 06, 2020

Registered at 4517 N ROCKWOOD DR, PEORIA, IL 616153841 (Tel: 3096930043)

📍
Updated Business Mailing Address October 06, 2020

Registered at 4517 N ROCKWOOD DR, PEORIA, IL 616153841 (Tel: 3096880121)

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NPI Profile Active August 09, 2012

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) August 09, 2012

Registered at 7620 N UNIVERSITY ST, PEORIA, IL 616141297 (Tel: 3096930043)

📍
Business Mailing Address (Initial Record) August 09, 2012

Registered at 7620 N UNIVERSITY ST, PEORIA, IL 616141297

👤
Provider Name / Credentials (Initial Record) August 09, 2012

Recorded as MICAH ROBERTS, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2012

Dentist (license number reported to NPPES: IL 019.029023)

🟢
Initial NPI Registration & Enumeration June 25, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1760746747
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2012
Last Update: October 06, 2020
Sole Proprietor: No

Other Dentist - General Practices in Peoria

All Dentist - General Practices in Peoria

Mailing Address

4517 N Rockwood Dr

Peoria, IL 616153841

Phone: 3096880121

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.