Petersen, Karl

Petersen, Karl was paid $184K by Medicaid between Jul 2018 and Nov 2019, across 9 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 52% of everything it billed.

33Billing provider infoPETERSEN, KARL
SAINT PAUL, MN 55119

33aNPI1285161661assigned 05/17/2017

33bProvider typeGeneral Practice Dentistry

28Total paid$184K

24GClaims3,202

24DCodes billed9

24AFirst – last monthJul 2018 – Nov 2019

Compared with peers

Next to other General Practice Dentistry providers in Minnesota

Rank by total paid#99 of 368

Median peer was paid$19K

This provider vs. median9.6×

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	387	$1K
2019	2,815	$183K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	52%	1,453	574	$96K
D7230		13%	187	89	$25K
D0140	Limited oral evaluation - problem focused	10%	941	889	$19K
D7140	Extraction, erupted tooth or exposed root	7.7%	260	69	$14K
D9243		6.9%	165	77	$13K
D7240	Removal of impacted tooth - completely bony	6.9%	95	41	$13K
D9239		1.9%	42	42	$3K
D0330	Panoramic radiographic image	<1%	26	26	$580.04
D9110		<1%	33	25	$471.60

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.