Dental
Anne Pedersen DDS INC
Anne Pedersen DDS INC was paid $6.19M by Medicaid between May 2021 and Dec 2024, across 32 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoANNE PEDERSEN DDS INC
SANTA MARIA, CA 93454
SANTA MARIA, CA 93454
33aNPI1750971719assigned 01/24/2021
33bProvider typePediatric Dentist
28Total paid$6.19M
24GClaims157,449
24DCodes billed32
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#45 of 332
Median peer was paid$450K
This provider vs. median14×
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 | |
|---|---|---|---|
| 2021 | 15,724 | $574K | |
| 2022 | 35,141 | $1.36M | |
| 2023 | 46,180 | $1.84M | |
| 2024incomplete | 60,404 | $2.41M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 20,835 | 20,696 | $1.05M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 12,447 | 12,363 | $887K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 11% | 5,562 | 2,157 | $662K |
| D1310 | 8.3% | 11,487 | 11,390 | $516K | |
| D1206 | Topical application of fluoride varnish | 7.0% | 20,166 | 20,026 | $434K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.2% | 5,551 | 5,507 | $382K |
| D1351 | Sealant - per tooth | 5.6% | 9,724 | 3,450 | $348K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.3% | 4,952 | 2,762 | $330K |
| D0145 | Oral evaluation for a patient under three years of age | 4.1% | 3,729 | 3,713 | $256K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.6% | 4,080 | 2,523 | $220K |
| D7140 | Extraction, erupted tooth or exposed root | 2.5% | 2,715 | 1,417 | $155K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.4% | 3,763 | 3,598 | $150K |
20 more codes
| D2330 | 2.1% | 1,709 | $132K | |
| D0603 | 2.1% | 8,840 | $129K | |
| D0272 | Bitewings - two radiographic images | 1.6% | 8,144 | $96K |
| D0350 | 1.3% | 7,917 | $79K | |
| D1354 | 1.0% | 5,588 | $63K | |
| D0330 | Panoramic radiographic image | <1% | 1,987 | $57K |
| D9993 | <1% | 962 | $56K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 10,023 | $39K |
| D0274 | Bitewings - four radiographic images | <1% | 1,494 | $30K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,858 | $22K |
| D0602 | <1% | 1,442 | $21K | |
| D9420 | <1% | 261 | $18K | |
| D0601 | <1% | 994 | $15K | |
| D2390 | <1% | 95 | $10K | |
| D9430 | <1% | 256 | $8K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 736 | $8K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 71 | $7K |
| D1510 | <1% | 29 | $6K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 20 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 12 | $576.00 |
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 officialPEDERSEN, ANNE (OWNER/DENTIST)