Peterson, Katherine

Peterson, Katherine was paid $37K by Medicaid between Jan 2018 and Oct 2018, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.

33Billing provider infoPETERSON, KATHERINE
BERKELEY, CA 94710

33aNPI1962890608assigned 01/05/2015

33bProvider typeGeneral Practice Dentistry

28Total paid$37K

24GClaims999

24DCodes billed11

24AFirst – last monthJan 2018 – Oct 2018

Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#1,873 of 2,668

Median peer was paid$173K

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
2018	999	$37K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	34%	228	228	$13K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	21%	274	274	$8K
D1120	Dental cleaning, childProphylaxis - child	15%	134	134	$6K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	7.8%	37	30	$3K
D0274	Bitewings - four radiographic images	6.6%	68	68	$2K
D1208	Topical application of fluoride, excluding varnish	5.7%	146	146	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	5.0%	34	26	$2K
D0150	Comprehensive oral evaluation - new or established patient	3.1%	39	39	$1K
D0272	Bitewings - two radiographic images	<1%	13	13	$250.90
D0140	Limited oral evaluation - problem focused	<1%	12	12	$206.60
D0220	Intraoral - periapical first radiographic image	<1%	14	14	$185.20

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.