Dental
Poulson, Owen
Poulson, Owen was paid $93K by Medicaid between Oct 2018 and Sep 2023, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
33Billing provider infoPOULSON, OWEN
NEVADA CITY, CA 95959
NEVADA CITY, CA 95959
33aNPI1720204845assigned 04/17/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$93K
24GClaims4,256
24DCodes billed8
24AFirst – last monthOct 2018 – Sep 2023
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,584 of 2,668
Median peer was paid$173K
This provider vs. median0.5×
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 | 405 | $9K | |
| 2019 | 421 | $9K | |
| 2020 | 809 | $14K | |
| 2021 | 848 | $19K | |
| 2022 | 980 | $24K | |
| 2023 | 793 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 954 | 861 | $28K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 1,122 | 1,016 | $22K |
| D1206 | Topical application of fluoride varnish | 22% | 1,236 | 1,127 | $20K |
| D0272 | Bitewings - two radiographic images | 8.9% | 435 | 383 | $8K |
| D0274 | Bitewings - four radiographic images | 8.0% | 279 | 254 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 122 | 100 | $4K |
| D1110 | Prophylaxis - adult | 2.9% | 65 | 64 | $3K |
| D1201 | 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.