Peters, Ryan

Peters, Ryan was paid $16K by Medicaid between Nov 2019 and Jun 2020, across 7 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 39% of everything it billed.

33Billing provider infoPETERS, RYAN
CLINTON, MO 64735

33aNPI1396304283assigned 06/13/2019

33bProvider typeDentist

28Total paid$16K

24GClaims309

24DCodes billed7

24AFirst – last monthNov 2019 – Jun 2020

Compared with peers

Next to other Dentist providers in Missouri

Rank by total paid#206 of 284

Median peer was paid$109K

This provider vs. median0.1×

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
2019	253	$13K
2020	56	$2K

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	39%	42	24	$6K
D1206	Topical application of fluoride varnish	18%	82	81	$3K
D0274	Bitewings - four radiographic images	11%	40	39	$2K
D1120	Dental cleaning, childProphylaxis - child	9.1%	42	41	$1K
D1351	Sealant - per tooth	8.9%	46	14	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	8.0%	30	30	$1K
D0150	Comprehensive oral evaluation - new or established patient	6.1%	27	26	$960.00

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.