Supplier
Peterson Dental PC
Peterson Dental PC was paid $17K by Medicaid between Oct 2018 and Mar 2021, across 1 billing code. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.
33Billing provider infoPETERSON DENTAL PC
OCEANSIDE, NY 11572
OCEANSIDE, NY 11572
33aNPI1114477692assigned 10/10/2016
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$17K
24GClaims268
24DCodes billed1
24AFirst – last monthOct 2018 – Mar 2021
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in New York
Rank by total paid#328 of 479
Median peer was paid$138K
This provider vs. median0.1×
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 | 12 | $645.10 | |
| 2019 | 45 | $3K | |
| 2020 | 171 | $11K | |
| 2021 | 40 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 100% | 268 | 248 | $17K |
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 officialPETERSON, JOHN (OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Mecklenburg Emergency Medical Services Agency | Charlotte, NC | $33.68M |
| Foot & Ankle Specialists of Idaho, P.C. | Idaho Falls, ID | $5K |
| Advanced Dental Technologies Cor | Oceanside, NY | $396.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.