Dental
Carlesimo, Peter
Carlesimo, Peter was paid $12K by Medicaid between Oct 2020 and Mar 2022, across 15 billing codes. Its largest line is D0120, dental checkup, returning patient — 19% of everything it billed.
33Billing provider infoCARLESIMO, PETER
SALEM, OR 97305
SALEM, OR 97305
33aNPI1902898307assigned 08/22/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$12K
24GClaims2,552
24DCodes billed15
24AFirst – last monthOct 2020 – Mar 2022
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#135 of 311
Median peer was paid$6K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2020 | 561 | $3K | |
| 2021 | 1,823 | $6K | |
| 2022 | 168 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 414 | 412 | $2K |
| D1206 | Topical application of fluoride varnish | 16% | 426 | 425 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.7% | 102 | 102 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 8.8% | 392 | 383 | $1K |
| D1110 | Prophylaxis - adult | 7.9% | 182 | 181 | $987.00 |
| D0274 | Bitewings - four radiographic images | 7.4% | 188 | 188 | $928.00 |
| D0210 | Intraoral - complete series of radiographic images | 7.4% | 40 | 40 | $928.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 6.7% | 113 | 113 | $840.00 |
| D0140 | Limited oral evaluation - problem focused | 5.9% | 131 | 130 | $735.00 |
| D4910 | 5.6% | 78 | 77 | $700.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 314 | 275 | $396.00 |
| D0602 | 2.1% | 76 | 74 | $263.00 |
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.