Dental
Pederson, Allison
Pederson, Allison was paid $119K by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoPEDERSON, ALLISON
SCOTTSDALE, AZ 85251
SCOTTSDALE, AZ 85251
33aNPI1003221219assigned 06/25/2014
33bProvider typePediatric Dentist
28Total paid$119K
24GClaims30,832
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#69 of 223
Median peer was paid$24K
This provider vs. median5.0×
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 | |
|---|---|---|---|
| 2018 | 6,366 | $2K | |
| 2019 | 2,412 | $0.00 | |
| 2020 | 1,908 | $0.00 | |
| 2021 | 3,426 | $7K | |
| 2022 | 3,677 | $21K | |
| 2023 | 3,722 | $25K | |
| 2024incomplete | 9,321 | $63K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 4,115 | 4,073 | $19K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 14% | 769 | 186 | $16K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 1,613 | 761 | $15K |
| D1206 | Topical application of fluoride varnish | 8.7% | 2,935 | 2,922 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.2% | 3,258 | 1,651 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.3% | 1,042 | 1,036 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.3% | 3,479 | 3,426 | $7K |
| D0272 | Bitewings - two radiographic images | 5.1% | 2,371 | 2,337 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 2,272 | 2,230 | $5K |
| D1351 | Sealant - per tooth | 3.8% | 1,367 | 472 | $4K |
| D0330 | Panoramic radiographic image | 3.0% | 561 | 550 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | 2.9% | 224 | 96 | $3K |
16 more codes
| D0274 | Bitewings - four radiographic images | 1.8% | 1,025 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 351 | $2K |
| D1354 | 1.6% | 490 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | 1.0% | 219 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 675 | $1K |
| D0350 | <1% | 192 | $1K | |
| D1110 | Prophylaxis - adult | <1% | 518 | $749.52 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 2,078 | $306.00 |
| D0140 | Limited oral evaluation - problem focused | <1% | 30 | $205.44 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 174 | $107.07 |
| D9248 | <1% | 27 | $69.79 | |
| D1999 | 0% | 130 | $0.00 | |
| D0603 | 0% | 561 | $0.00 | |
| D0601 | 0% | 167 | $0.00 | |
| D0240 | 0% | 175 | $0.00 | |
| D0602 | 0% | 14 | $0.00 |
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.