Paulson, Roy

Paulson, Roy was paid $13K by Medicaid between Jan 2018 and Oct 2019, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 81% of everything it billed.

33Billing provider infoPAULSON, ROY
CASPER, WY 82601

33aNPI1104921907assigned 09/14/2006

33bProvider typePediatric Dentist

28Total paid$13K

24GClaims260

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2019

Compared with peers

Next to other Pediatric Dentist providers in Wyoming

Rank by total paid#13 of 16

Median peer was paid$454K

This provider vs. median0.0×

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	145	$5K
2019	115	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	81%	130	129	$10K
D1208	Topical application of fluoride, excluding varnish	9.8%	62	62	$1K
D1120	Dental cleaning, childProphylaxis - child	7.8%	40	40	$990.00
D1110	Prophylaxis - adult	1.7%	12	12	$222.00
D1206	Topical application of fluoride varnish	0%	16	16	$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.