Dental
Peterson, Robert
Peterson, Robert was paid $64K by Medicaid between Jan 2018 and Jan 2023, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 30% of everything it billed.
33Billing provider infoPETERSON, ROBERT
CORNING, IA 50841
CORNING, IA 50841
33aNPI1407010960assigned 07/14/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$64K
24GClaims3,129
24DCodes billed10
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other General Practice Dentistry providers in Iowa
Rank by total paid#139 of 437
Median peer was paid$22K
This provider vs. median2.9×
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 | 475 | $8K | |
| 2019 | 471 | $10K | |
| 2020 | 545 | $11K | |
| 2021 | 635 | $13K | |
| 2022 | 970 | $22K | |
| 2023 | 33 | $924.08 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 30% | 1,117 | 1,059 | $19K |
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 630 | 585 | $14K |
| D1110 | Prophylaxis - adult | 22% | 388 | 380 | $14K |
| D1206 | Topical application of fluoride varnish | 7.2% | 322 | 307 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.6% | 182 | 177 | $4K |
| D0274 | Bitewings - four radiographic images | 4.4% | 126 | 126 | $3K |
| D0272 | Bitewings - two radiographic images | 3.3% | 128 | 119 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 2.8% | 157 | 139 | $2K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 44 | 40 | $845.07 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 35 | 28 | $273.75 |
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.