Dental
Ackerman, Peter
Ackerman, Peter was paid $18K by Medicaid between Oct 2019 and Feb 2020, across 6 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 29% of everything it billed.
33Billing provider infoACKERMAN, PETER
OCEAN SPRINGS, MS 39564
OCEAN SPRINGS, MS 39564
33aNPI1891833752assigned 02/02/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$18K
24GClaims602
24DCodes billed6
24AFirst – last monthOct 2019 – Feb 2020
Compared with peers
Next to other General Practice Dentistry providers in Mississippi
Rank by total paid#271 of 379
Median peer was paid$78K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2019 | 348 | $11K | |
| 2020 | 254 | $8K |
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 | 29% | 62 | 38 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 25% | 134 | 128 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 133 | 127 | $3K |
| D0274 | Bitewings - four radiographic images | 11% | 108 | 104 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 9.5% | 127 | 121 | $2K |
| D0330 | Panoramic radiographic image | 8.5% | 38 | 34 | $2K |
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.