Pederson, Robert

Pederson, Robert was paid $149K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 49% of everything it billed.

33Billing provider infoPEDERSON, ROBERT
MONDOVI, WI 54755

33aNPI1063529808assigned 08/25/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$149K

24GClaims7,358

24DCodes billed8

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Wisconsin

Rank by total paid#64 of 208

Median peer was paid$26K

This provider vs. median5.7×

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	1,461	$25K
2019	1,209	$21K
2020	750	$13K
2021	1,035	$18K
2022	1,067	$27K
2023	1,044	$25K
2024incomplete	792	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	49%	2,428	2,372	$73K
D1208	Topical application of fluoride, excluding varnish	26%	2,805	2,732	$39K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	16%	1,514	1,477	$24K
D0274	Bitewings - four radiographic images	4.9%	371	363	$7K
D1120	Dental cleaning, childProphylaxis - child	2.5%	176	174	$4K
D0150	Comprehensive oral evaluation - new or established patient	<1%	27	27	$563.71
D0272	Bitewings - two radiographic images	<1%	24	24	$318.36
D0140	Limited oral evaluation - problem focused	<1%	13	13	$247.47

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.