Larsen, Paul

Larsen, Paul was paid $40K by Medicaid between Jan 2023 and Dec 2023, across 11 billing codes. Its largest line is D9999, Unspecified adjunctive procedure, by report — 50% of everything it billed.

33Billing provider infoLARSEN, PAUL
MAHOMET, IL 61853

33aNPI1609955798assigned 11/02/2006

33bProvider typeDentist

28Total paid$40K

24GClaims1,332

24DCodes billed11

24AFirst – last monthJan 2023 – Dec 2023

Compared with peers

Next to other Dentist providers in Illinois

Rank by total paid#770 of 1,099

Median peer was paid$160K

This provider vs. median0.3×

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
2023	1,332	$40K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9999	Unspecified adjunctive procedure, by report	50%	167	134	$20K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	25%	286	272	$10K
D1120	Dental cleaning, childProphylaxis - child	23%	298	273	$9K
D1206	Topical application of fluoride varnish	<1%	218	215	$211.91
D0274	Bitewings - four radiographic images	<1%	63	62	$72.02
D0272	Bitewings - two radiographic images	<1%	41	41	$34.72
D0150	Comprehensive oral evaluation - new or established patient	<1%	113	112	$26.45
D0210	Intraoral - complete series of radiographic images	<1%	14	12	$0.25
D0220	Intraoral - periapical first radiographic image	<1%	58	56	$0.12
D0140	Limited oral evaluation - problem focused	<1%	50	50	$0.09
D0330	Panoramic radiographic image	<1%	24	24	$0.08

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.