Dental
Peterkin, Jessica
Peterkin, Jessica was paid $1K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 30% of everything it billed.
33Billing provider infoPETERKIN, JESSICA
SURPRISE, AZ 85379
SURPRISE, AZ 85379
33aNPI1811373350assigned 08/06/2015
33bProvider typeDentist
28Total paid$1K
24GClaims6,682
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Arizona
Rank by total paid#211 of 468
Median peer was paid$686.85
This provider vs. median2.1×
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 | 5,438 | $1K | |
| 2024incomplete | 1,244 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 30% | 401 | 205 | $430.28 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 28% | 266 | 152 | $412.16 |
| D1120 | Dental cleaning, childProphylaxis - child | 9.8% | 819 | 782 | $142.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.3% | 912 | 876 | $92.10 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.9% | 229 | 197 | $86.12 |
| D1351 | Sealant - per tooth | 4.8% | 22 | 12 | $69.69 |
| D0272 | Bitewings - two radiographic images | 4.8% | 531 | 501 | $69.24 |
| D1208 | Topical application of fluoride, excluding varnish | 4.4% | 777 | 729 | $64.20 |
| D0220 | Intraoral - periapical first radiographic image | 3.8% | 1,014 | 963 | $55.72 |
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 942 | 894 | $30.66 |
| D0274 | Bitewings - four radiographic images | 0% | 237 | 227 | $0.00 |
| D2930 | Prefabricated stainless steel crown - primary tooth | 0% | 38 | 12 | $0.00 |
3 more codes
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.