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Peterson Lim

Dentist · San Leandro

NPI 1578964110

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1
Since medical school
13 years
Graduated 2013

Offices

1 location

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Peterson Lim’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence G63828 · Cancelled

Licence status: Cancelled · since 1988 · University of Cincinnati College of Medicine.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Medicaid work

$193,212 in 2024

Medicaid paid $193,212 for 797 billed services this clinician did in 2024, up to 101 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Service797$193,212
Medicaid work by year
20247971101$193,212
2023839173$195,723
20228161108$185,276
2021452179$101,661
201947124$6,725
20186,6101282$920,365
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Service839$195,723

2022

Largest Medicaid services in 2022
Service816$185,276

2021

Largest Medicaid services in 2021
Service452$101,661

2019

Largest Medicaid services in 2019
Service47$6,725

2018

Largest Medicaid services in 2018
Service6,610$920,365

Drugs they prescribed that Part D paid

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their 25 Part D prescriptions in 2019. Too few prescriptions to judge: with under about 50 a year, a handful of patients can swing this share.

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

Year by year

Part D prescribing by year
202015NoneNone0%$62
201925190% (0)None$145
20184935NoneNone$300
20175829NoneNone$287
20163218None0%$169
201513None0% (0)None$78

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2019: 1 drug

Part D drugs prescribed in 2019
Amoxicillin13$73$6

2018: 1 drug

Part D drugs prescribed in 2018
Amoxicillin20$100$5

2017: 1 drug

Part D drugs prescribed in 2017
Amoxicillin25$107$4

2016: 1 drug

Part D drugs prescribed in 2016
Amoxicillin13$45$3

Money from drug and device companies

$35 in 2019

A payment is not proof that care is biased.

Payments by company
Premier Dental ProductsEnamelon Preventive Treatment$35
1 payment
  • Education for Enamelon Preventive Treatment · 2019-04-23 · $35
See the published payment
Every published payment
Premier Dental ProductsEducation · 2019-04-23Enamelon Preventive Treatment$35

Professional record

NPI
1578964110
Licence
CA 63828California G63828: Cancelled
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 1223G0001X (1223G0001X)
Mailing address
750 N King Rd Apt 508, San Jose, CA, 95133
NPI first listed
2014-09-15
NPI last updated
2014-09-15

This is when the NPI record was last certified, not a medical board exam.