Peterson, Royce

Peterson, Royce was paid $11K by Medicaid between Jan 2018 and Jul 2024, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 33% of everything it billed.

33Billing provider infoPETERSON, ROYCE
FLAGSTAFF, AZ 86004

33aNPI1437283165assigned 03/15/2007

33bProvider typeDentist

28Total paid$11K

24GClaims915

24DCodes billed8

24AFirst – last monthJan 2018 – Jul 2024

Compared with peers

Next to other Dentist providers in Arizona

Rank by total paid#145 of 468

Median peer was paid$686.85

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
2018	383	$4K
2019	107	$1K
2021	55	$692.08
2022	257	$3K
2023	61	$869.54
2024incomplete	52	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	33%	255	219	$4K
D1120	Dental cleaning, childProphylaxis - child	19%	131	107	$2K
D1208	Topical application of fluoride, excluding varnish	16%	194	150	$2K
D0220	Intraoral - periapical first radiographic image	15%	157	153	$2K
D1206	Topical application of fluoride varnish	14%	115	114	$2K
D0274	Bitewings - four radiographic images	1.8%	37	26	$199.65
D0230	Intraoral - periapical each additional radiographic image	<1%	14	14	$107.58
D1110	Prophylaxis - adult	<1%	12	12	$86.98

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.