Dental
Peticolas, Cynthia
Peticolas, Cynthia was paid $1.34M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is D1351, Sealant - per tooth — 23% of everything it billed.
33Billing provider infoPETICOLAS, CYNTHIA
MILL CITY, OR 97360
MILL CITY, OR 97360
33aNPI1134180714assigned 03/31/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$1.34M
24GClaims47,842
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#5 of 311
Median peer was paid$6K
This provider vs. median209×
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 | 5,398 | $140K | |
| 2019 | 5,550 | $133K | |
| 2020 | 6,955 | $178K | |
| 2021 | 7,347 | $203K | |
| 2022 | 8,798 | $248K | |
| 2023 | 7,230 | $230K | |
| 2024incomplete | 6,564 | $210K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 23% | 12,621 | 2,245 | $314K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 4,751 | 4,564 | $144K |
| D1110 | Prophylaxis - adult | 10% | 3,343 | 3,217 | $134K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.7% | 5,904 | 5,660 | $131K |
| D1206 | Topical application of fluoride varnish | 9.3% | 6,568 | 6,322 | $125K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.6% | 1,210 | 538 | $89K |
| D0274 | Bitewings - four radiographic images | 6.0% | 2,651 | 2,534 | $81K |
| D7140 | Extraction, erupted tooth or exposed root | 4.8% | 836 | 410 | $65K |
| D0272 | Bitewings - two radiographic images | 4.2% | 2,675 | 2,549 | $56K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.9% | 1,989 | 1,932 | $52K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.2% | 635 | 305 | $43K |
| D0210 | Intraoral - complete series of radiographic images | 2.2% | 617 | 597 | $30K |
7 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.5% | 941 | $20K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.4% | 160 | $18K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,017 | $12K |
| D0140 | Limited oral evaluation - problem focused | <1% | 414 | $12K |
| D1999 | <1% | 1,032 | $10K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 464 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 14 | $140.00 |
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.