Peterson Dental, LLC

Peterson Dental, LLC was paid $18K by Medicaid between Mar 2018 and Oct 2024, across 8 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 40% of everything it billed.

33Billing provider infoPETERSON DENTAL, LLC
LEEDS, AL 35094

33aNPI1811366198assigned 09/17/2015

33bProvider typeDentist

28Total paid$18K

24GClaims890

24DCodes billed8

24AFirst – last monthMar 2018 – Oct 2024

Compared with peers

Next to other Dentist providers in Alabama

Rank by total paid#85 of 160

Median peer was paid$24K

This provider vs. median0.7×

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	148	$4K
2019	225	$5K
2020	234	$3K
2021	58	$2K
2022	132	$3K
2024incomplete	93	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	40%	332	315	$7K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	27%	221	211	$5K
D1120	Dental cleaning, childProphylaxis - child	17%	93	90	$3K
D0220	Intraoral - periapical first radiographic image	6.2%	92	86	$1K
D0274	Bitewings - four radiographic images	3.7%	24	24	$651.00
D1110	Prophylaxis - adult	3.1%	12	12	$550.00
D0230	Intraoral - periapical each additional radiographic image	2.5%	42	25	$436.00
D1999		0%	74	63	$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 officialPETERSON, NICOLE (CFO)