Dental
Petersen, Hans
Petersen, Hans was paid $1.65M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is D0120, dental checkup, returning patient — 42% of everything it billed.
33Billing provider infoPETERSEN, HANS
WEST VALLEY CITY, UT 84119
WEST VALLEY CITY, UT 84119
33aNPI1255497079assigned 12/28/2006
33bProvider typePediatric Dentist
28Total paid$1.65M
24GClaims48,784
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Utah
Rank by total paid#18 of 152
Median peer was paid$311K
This provider vs. median5.3×
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 | 5,409 | $159K | |
| 2019 | 8,798 | $309K | |
| 2020 | 22,045 | $758K | |
| 2021 | 9,802 | $350K | |
| 2022 | 278 | $10K | |
| 2023 | 1,048 | $28K | |
| 2024incomplete | 1,404 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 42% | 6,665 | 6,609 | $697K |
| D1351 | Sealant - per tooth | 10% | 3,867 | 792 | $171K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 7.8% | 3,019 | 1,221 | $128K |
| D0220 | Intraoral - periapical first radiographic image | 6.8% | 3,101 | 3,042 | $112K |
| D0272 | Bitewings - two radiographic images | 6.6% | 4,458 | 4,393 | $109K |
| D2140 | 6.5% | 2,440 | 1,154 | $107K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.4% | 1,256 | 381 | $73K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.1% | 6,896 | 6,841 | $67K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 543 | 537 | $62K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 434 | 417 | $25K |
| D7140 | Extraction, erupted tooth or exposed root | 1.2% | 1,068 | 572 | $21K |
| D1206 | Topical application of fluoride varnish | <1% | 7,033 | 6,980 | $16K |
10 more codes
| D2330 | <1% | 128 | $15K | |
| D2332 | <1% | 116 | $14K | |
| D9248 | <1% | 208 | $10K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 3,917 | $8K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 871 | $7K |
| D9420 | <1% | 118 | $2K | |
| D0274 | Bitewings - four radiographic images | <1% | 1,505 | $2K |
| D0330 | Panoramic radiographic image | <1% | 850 | $1K |
| D2160 | <1% | 32 | $757.44 | |
| D1110 | Prophylaxis - adult | 0% | 259 | $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.