Dental
Peterson, John
Peterson, John was paid $397K by Medicaid between Jan 2018 and Jul 2023, across 18 billing codes. Its largest line is E0486, Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment — 50% of everything it billed.
33Billing provider infoPETERSON, JOHN
OCEANSIDE, NY 11572
OCEANSIDE, NY 11572
33aNPI1881703700assigned 08/30/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$397K
24GClaims5,202
24DCodes billed18
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#379 of 2,184
Median peer was paid$54K
This provider vs. median7.4×
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 | 990 | $130K | |
| 2019 | 1,312 | $123K | |
| 2020 | 1,747 | $78K | |
| 2021 | 1,052 | $26K | |
| 2022 | 76 | $22K | |
| 2023 | 25 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E0486 | Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment | 50% | 126 | 123 | $200K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 1,762 | 1,657 | $96K |
| D1110 | Prophylaxis - adult | 8.5% | 761 | 759 | $34K |
| 21110 | 8.0% | 55 | 55 | $32K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.6% | 450 | 449 | $10K |
| D0210 | Intraoral - complete series of radiographic images | 1.6% | 270 | 270 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 502 | 494 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 287 | 286 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 95 | 95 | $2K |
| D1320 | <1% | 272 | 272 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 46 | 45 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 12 | 12 | $1K |
6 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.