Peterson, Benjamin

Peterson, Benjamin was paid $43K by Medicaid between Jan 2018 and Jun 2023, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 33% of everything it billed.

33Billing provider infoPETERSON, BENJAMIN
ONTARIO, OR 97914

33aNPI1720159080assigned 11/10/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$43K

24GClaims1,682

24DCodes billed8

24AFirst – last monthJan 2018 – Jun 2023

Compared with peers

Next to other General Practice Dentistry providers in Oregon

Rank by total paid#90 of 311

Median peer was paid$6K

This provider vs. median6.7×

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	306	$7K
2019	337	$8K
2020	308	$7K
2021	167	$4K
2022	378	$10K
2023	186	$5K

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%	554	552	$14K
D1110	Prophylaxis - adult	28%	304	300	$12K
D1206	Topical application of fluoride varnish	25%	613	610	$11K
D1120	Dental cleaning, childProphylaxis - child	7.4%	84	84	$3K
D0274	Bitewings - four radiographic images	4.3%	88	88	$2K
D0210	Intraoral - complete series of radiographic images	1.2%	12	12	$522.00
D0150	Comprehensive oral evaluation - new or established patient	<1%	14	14	$418.00
D0330	Panoramic radiographic image	0%	13	12	$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.