Dental
Peterson, Gilman
Peterson, Gilman was paid $101K by Medicaid between Mar 2018 and Aug 2022, across 9 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 41% of everything it billed.
33Billing provider infoPETERSON, GILMAN
WINCHESTER, KY 40391
WINCHESTER, KY 40391
33aNPI1871756924assigned 07/09/2008
33bProvider typeDentist
28Total paid$101K
24GClaims1,121
24DCodes billed9
24AFirst – last monthMar 2018 – Aug 2022
Compared with peers
Next to other Dentist providers in Kentucky
Rank by total paid#172 of 350
Median peer was paid$95K
This provider vs. median1.1×
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 | 67 | $4K | |
| 2022 | 1,054 | $96K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 41% | 210 | 70 | $41K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 18% | 204 | 61 | $18K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 14% | 176 | 112 | $14K |
| D9222 | 8.6% | 109 | 109 | $9K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.7% | 158 | 156 | $8K |
| D0330 | Panoramic radiographic image | 4.4% | 117 | 115 | $4K |
| D7230 | 3.0% | 19 | 12 | $3K | |
| D9610 | 2.8% | 67 | 67 | $3K | |
| D9986 | 0% | 61 | 59 | $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.