Dental
Raven, Peter
Raven, Peter was paid $5K by Medicaid between Jan 2019 and Apr 2021, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 61% of everything it billed.
33Billing provider infoRAVEN, PETER
SPRINGFIELD, OR 97477
SPRINGFIELD, OR 97477
33aNPI1700036878assigned 09/25/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$5K
24GClaims143
24DCodes billed2
24AFirst – last monthJan 2019 – Apr 2021
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#173 of 311
Median peer was paid$6K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2019 | 56 | $2K | |
| 2020 | 56 | $2K | |
| 2021 | 31 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 61% | 70 | 69 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 39% | 73 | 72 | $2K |
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.