Pfotenhauer, Richard

Pfotenhauer, Richard was paid $26K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 35% of everything it billed.

33Billing provider infoPFOTENHAUER, RICHARD
GLADSTONE, MI 49837

33aNPI1972530178assigned 06/26/2006

33bProvider typeDentist

28Total paid$26K

24GClaims649

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#441 of 1,033

Median peer was paid$15K

This provider vs. median1.8×

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	100	$4K
2020	27	$1K
2021	38	$1K
2022	86	$3K
2023	260	$12K
2024incomplete	138	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	35%	172	172	$9K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	30%	273	273	$8K
D0140	Limited oral evaluation - problem focused	21%	119	114	$6K
D0150	Comprehensive oral evaluation - new or established patient	7.6%	45	44	$2K
D0210	Intraoral - complete series of radiographic images	3.7%	15	15	$984.00
D1120	Dental cleaning, childProphylaxis - child	1.9%	12	12	$504.00
D0220	Intraoral - periapical first radiographic image	<1%	13	12	$204.00

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.