Dental
Pinedale Dental
Pinedale Dental was paid $5K by Medicaid between May 2023 and May 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 39% of everything it billed.
33Billing provider infoPINEDALE DENTAL
PINEDALE, WY 82941
PINEDALE, WY 82941
33aNPI1033870779assigned 01/05/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$5K
24GClaims149
24DCodes billed6
24AFirst – last monthMay 2023 – May 2024
Compared with peers
Next to other General Practice Dentistry providers in Wyoming
Rank by total paid#35 of 64
Median peer was paid$6K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2023 | 49 | $1K | |
| 2024incomplete | 100 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 39% | 52 | 51 | $2K |
| D1206 | Topical application of fluoride varnish | 25% | 28 | 28 | $1K |
| D1110 | Prophylaxis - adult | 15% | 12 | 12 | $731.28 |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 30 | 30 | $487.60 |
| D1120 | Dental cleaning, childProphylaxis - child | 9.7% | 12 | 12 | $469.26 |
| D1330 | 1.5% | 15 | 14 | $73.14 |
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 officialPETERSEN, ALISON (RECEPTIONIST)