Peterson, Kari

Peterson, Kari was paid $7K by Medicaid between Jan 2018 and Jun 2021, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 63% of everything it billed.

33Billing provider infoPETERSON, KARI
ST CLOUD, MN 56301

33aNPI1205995594assigned 12/06/2006

33bProvider typeDentist

28Total paid$7K

24GClaims510

24DCodes billed5

24AFirst – last monthJan 2018 – Jun 2021

Compared with peers

Next to other Dentist providers in Minnesota

Rank by total paid#106 of 192

Median peer was paid$9K

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
2018	201	$344.47
2019	116	$3K
2020	92	$2K
2021	101	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	63%	300	298	$5K
D1206	Topical application of fluoride varnish	23%	117	117	$2K
D1110	Prophylaxis - adult	14%	66	66	$1K
D1120	Dental cleaning, childProphylaxis - child	0%	12	12	$0.00
D9985		0%	15	14	$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.