Dental
Peterson, John
Peterson, John was paid $119K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoPETERSON, JOHN
RIVERTON, UT 84065
RIVERTON, UT 84065
33aNPI1598905929assigned 02/25/2009
33bProvider typeDentist
28Total paid$119K
24GClaims5,638
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Utah
Rank by total paid#41 of 136
Median peer was paid$35K
This provider vs. median3.4×
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 | 164 | $2K | |
| 2019 | 248 | $2K | |
| 2020 | 395 | $13K | |
| 2021 | 1,279 | $28K | |
| 2022 | 1,643 | $32K | |
| 2023 | 1,146 | $26K | |
| 2024incomplete | 763 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 551 | 525 | $36K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 773 | 740 | $30K |
| D0220 | Intraoral - periapical first radiographic image | 15% | 1,710 | 1,518 | $18K |
| D0274 | Bitewings - four radiographic images | 9.5% | 879 | 818 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.4% | 80 | 80 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.5% | 1,210 | 1,052 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.5% | 186 | 180 | $4K |
| D1206 | Topical application of fluoride varnish | 1.3% | 177 | 174 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 29 | 28 | $129.66 |
| D0330 | Panoramic radiographic image | 0% | 43 | 42 | $0.00 |
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.