Dental
Peterson, Geoff
Peterson, Geoff was paid $225K by Medicaid between Jan 2018 and Jun 2020, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 14% of everything it billed.
33Billing provider infoPETERSON, GEOFF
LEES SUMMIT, MO 64082
LEES SUMMIT, MO 64082
33aNPI1285076364assigned 07/18/2013
33bProvider typeDentist
28Total paid$225K
24GClaims4,623
24DCodes billed13
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Dentist providers in Missouri
Rank by total paid#104 of 284
Median peer was paid$109K
This provider vs. median2.1×
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 | 2,088 | $141K | |
| 2019 | 1,874 | $55K | |
| 2020 | 661 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 552 | 528 | $32K |
| D1206 | Topical application of fluoride varnish | 14% | 833 | 788 | $31K |
| D1110 | Prophylaxis - adult | 13% | 398 | 374 | $29K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 606 | 576 | $27K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 337 | 312 | $24K |
| D0274 | Bitewings - four radiographic images | 10% | 468 | 434 | $23K |
| D0272 | Bitewings - two radiographic images | 4.8% | 297 | 285 | $11K |
| D0330 | Panoramic radiographic image | 4.4% | 96 | 92 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.3% | 60 | 30 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.3% | 426 | 243 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 482 | 463 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.0% | 28 | 20 | $7K |
1 more codes
| D0140 | Limited oral evaluation - problem focused | 1.0% | 40 | $2K |
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.