Dental
Petersen, James
Petersen, James was paid $0.00 by Medicaid between Jan 2018 and Feb 2019, across 17 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 0% of everything it billed.
33Billing provider infoPETERSEN, JAMES
PRINEVILLE, OR 97754
PRINEVILLE, OR 97754
33aNPI1306844030assigned 07/07/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$0.00
24GClaims2,203
24DCodes billed17
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#281 of 311
Median peer was paid$6K
This provider vs. median0.0×
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 | 2,041 | $0.00 | |
| 2019 | 162 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 0% | 387 | 269 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 174 | 139 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 16 | 14 | $0.00 |
| D0191 | 0% | 32 | 32 | $0.00 | |
| D1354 | 0% | 307 | 46 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 25 | 24 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 29 | 28 | $0.00 |
| D1310 | 0% | 93 | 87 | $0.00 | |
| D1330 | 0% | 427 | 326 | $0.00 | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 74 | 71 | $0.00 |
| D0601 | 0% | 63 | 61 | $0.00 | |
| D0603 | 0% | 56 | 54 | $0.00 |
5 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 69 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 233 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 49 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 131 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 38 | $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.