Paris, Peter

Paris, Peter was paid $108K by Medicaid between Jan 2018 and Nov 2018, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 41% of everything it billed.

33Billing provider infoPARIS, PETER
HAYS, KS 67601

33aNPI1922177211assigned 11/08/2006

33bProvider typePeriodontist

28Total paid$108K

24GClaims1,751

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2018

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	1,751	$108K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	41%	338	323	$45K
D1206	Topical application of fluoride varnish	19%	546	518	$21K
D1110	Prophylaxis - adult	18%	160	150	$20K
D0274	Bitewings - four radiographic images	9.0%	141	121	$10K
D0220	Intraoral - periapical first radiographic image	6.9%	160	142	$7K
D0150	Comprehensive oral evaluation - new or established patient	2.4%	69	62	$3K
D1351	Sealant - per tooth	1.2%	155	72	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	78	63	$558.90
D0230	Intraoral - periapical each additional radiographic image	<1%	91	62	$558.90
D0140	Limited oral evaluation - problem focused	<1%	13	13	$372.60

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.