Dental
Peterman, Jennifer
Peterman, Jennifer was paid $233K by Medicaid between Jan 2018 and Nov 2018, across 23 billing codes. Its largest line is D1351, Sealant - per tooth — 20% of everything it billed.
33Billing provider infoPETERMAN, JENNIFER
WICHITA, KS 67203
WICHITA, KS 67203
33aNPI1962569277assigned 01/03/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$233K
24GClaims12,430
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers
Next to other General Practice Dentistry providers in Kansas
Rank by total paid#50 of 203
Median peer was paid$40K
This provider vs. median5.8×
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 | 12,430 | $233K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 20% | 2,215 | 381 | $47K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 13% | 326 | 115 | $30K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 1,021 | 940 | $28K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.6% | 1,172 | 1,084 | $22K |
| D1206 | Topical application of fluoride varnish | 8.9% | 1,423 | 1,313 | $21K |
| D0272 | Bitewings - two radiographic images | 5.8% | 768 | 696 | $14K |
| D1110 | Prophylaxis - adult | 5.6% | 370 | 342 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.0% | 228 | 87 | $12K |
| D0274 | Bitewings - four radiographic images | 4.3% | 380 | 351 | $10K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.3% | 628 | 313 | $8K |
| D0330 | Panoramic radiographic image | 2.7% | 215 | 194 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.6% | 103 | 53 | $6K |
11 more codes
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.3% | 98 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | 1.7% | 97 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 135 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 259 | $2K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 36 | $1K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 30 | $812.00 |
| D0140 | Limited oral evaluation - problem focused | <1% | 19 | $410.90 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 24 | $126.00 |
| D1330 | 0% | 1,450 | $0.00 | |
| D0603 | 0% | 1,141 | $0.00 | |
| D0602 | 0% | 292 | $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.