Dental
Peterson Dental Associates, P.A.
Peterson Dental Associates, P.A. was paid $31K by Medicaid between Jan 2018 and Mar 2024, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 54% of everything it billed.
33Billing provider infoPETERSON DENTAL ASSOCIATES, P.A.
ST CLOUD, MN 56301
ST CLOUD, MN 56301
33aNPI1396856100assigned 08/31/2006
33bProvider typeDental Hygienist
28Total paid$31K
24GClaims985
24DCodes billed4
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Dental Hygienist providers in Minnesota
Rank by total paid#8 of 9
Median peer was paid$157K
This provider vs. median0.2×
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 | 143 | $46.04 | |
| 2019 | 115 | $3K | |
| 2020 | 88 | $3K | |
| 2021 | 128 | $4K | |
| 2022 | 232 | $10K | |
| 2023 | 235 | $10K | |
| 2024incomplete | 44 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 54% | 370 | 370 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 41% | 563 | 560 | $13K |
| D1206 | Topical application of fluoride varnish | 2.6% | 39 | 38 | $811.58 |
| D0274 | Bitewings - four radiographic images | 1.8% | 13 | 13 | $564.10 |
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.
From NPPES
Who's on the registration
Authorized officialPETERSON, RUSSELL (PRESIDENT OF CORP)
| Provider | Location | Paid |
|---|---|---|
| Dreamlife Destiny LLC | Maple Grove, MN | $986K |
| Randolph Medical Associates, PC | Roanoke, AL | $69K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.