Petersen, Julian

Petersen, Julian was paid $298K by Medicaid between Mar 2023 and Dec 2024, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 34% of everything it billed.

33Billing provider infoPETERSEN, JULIAN
HERMISTON, OR 97838

33aNPI1316175185assigned 06/30/2009

33bProvider typeDentist

28Total paid$298K

24GClaims5,855

24DCodes billed15

24AFirst – last monthMar 2023 – Dec 2024

Compared with peers

Next to other Dentist providers in Oregon

Rank by total paid#37 of 233

Median peer was paid$19K

This provider vs. median16×

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
2023	1,475	$81K
2024incomplete	4,380	$216K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	34%	1,331	397	$102K
D2391	Resin-based composite - one surface, posterior, primary or permanent	22%	1,013	294	$65K
D1110	Prophylaxis - adult	12%	646	605	$36K
D0150	Comprehensive oral evaluation - new or established patient	8.4%	581	542	$25K
D0210	Intraoral - complete series of radiographic images	6.6%	369	343	$20K
D1206	Topical application of fluoride varnish	6.2%	805	756	$18K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	2.9%	256	245	$9K
D0140	Limited oral evaluation - problem focused	2.7%	252	233	$8K
D0274	Bitewings - four radiographic images	<1%	199	184	$3K
D0220	Intraoral - periapical first radiographic image	<1%	247	233	$3K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	<1%	21	13	$2K
D2331		<1%	21	12	$2K

3 more codes

D4341		<1%	42	$2K
D1120	Dental cleaning, child	<1%	58	$2K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	<1%	14	$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.