PETERSEN, KARL
NPI: 1285161661
· SAINT PAUL, MN 55119
· General Practice Dentistry
· NPI assigned 05/17/2017
$184K
Total Medicaid Paid
1,832
Beneficiary Records
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
387 |
$1K |
| 2019 |
2,815 |
$183K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,453 |
574 |
$96K |
| D7230 |
|
187 |
89 |
$25K |
| D0140 |
Limited oral evaluation - problem focused |
941 |
889 |
$19K |
| D7140 |
Extraction, erupted tooth or exposed root |
260 |
69 |
$14K |
| D9243 |
|
165 |
77 |
$13K |
| D7240 |
Removal of impacted tooth - completely bony |
95 |
41 |
$13K |
| D9239 |
|
42 |
42 |
$3K |
| D0330 |
Panoramic radiographic image |
26 |
26 |
$580.04 |
| D9110 |
|
33 |
25 |
$471.60 |