Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Roy E. Paulson JR PC

Roy E. Paulson JR PC was paid $1.77M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 16% of everything it billed.

33Billing provider infoROY E. PAULSON JR PC
CASPER, WY 82601
33aNPI1750584173assigned 06/06/2007
33bProvider typePediatric Dentist
28Total paid$1.77M
24GClaims45,395
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Wyoming

Rank by total paid#6 of 16
Median peer was paid$454K
This provider vs. median3.9×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20184,183$151K
20193,830$109K
20204,181$136K
20215,556$165K
20228,350$321K
20239,064$417K
2024incomplete10,231$472K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 16% 2,112 669 $291K
D1120 Dental cleaning, childProphylaxis - child 11% 5,893 5,523 $188K
D1206 Topical application of fluoride varnish 10% 5,628 5,272 $180K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 9.7% 5,701 5,375 $172K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 8.1% 1,710 581 $144K
D7140 Extraction, erupted tooth or exposed root 5.4% 1,390 602 $95K
D1110 Prophylaxis - adult 4.9% 1,905 1,781 $87K
D1351 Sealant - per tooth 4.1% 2,582 1,034 $72K
D0272 Bitewings - two radiographic images 3.6% 3,034 2,815 $65K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3.3% 2,727 2,456 $59K
D2150 Silver amalgam - two surfaces, primary or permanent 3.3% 649 324 $59K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.3% 778 499 $58K
18 more codes
D0240 2.9% 3,170 $51K
D0140 Limited oral evaluation - problem focused 2.2% 960 $39K
D9248 2.0% 387 $35K
D1208 Topical application of fluoride, excluding varnish 1.5% 1,563 $26K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1.3% 257 $24K
D0150 Comprehensive oral evaluation - new or established patient 1.3% 745 $23K
D9420 1.3% 160 $23K
D0274 Bitewings - four radiographic images 1.2% 696 $22K
D0330 Panoramic radiographic image 1.2% 438 $21K
D0220 Intraoral - periapical first radiographic image <1% 930 $14K
D1330 <1% 1,637 $9K
D2140 <1% 26 $5K
D0145 Oral evaluation for a patient under three years of age <1% 124 $4K
D3120 <1% 130 $3K
D9310 <1% 18 $853.16
D1310 <1% 14 $134.09
D1300 0% 14 $0.00
D8670 Periodic orthodontic treatment visit 0% 17 $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.

From NPPES

Who's on the registration

Authorized officialPAULSON, ROY (PEDIATRIC DENTIST)
Same official

Other billing entities under PAULSON, ROY

Full network →
ProviderLocationPaid
Roy E. Paulson JR PCGillette, WY$81K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.