Nelson, David

Nelson, David was paid $25K by Medicaid between May 2019 and Nov 2022, across 10 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 38% of everything it billed.

33Billing provider infoNELSON, DAVID
MOUNT PLEASANT, WI 53406

33aNPI1003912916assigned 09/16/2006

33bProvider typeDentist

28Total paid$25K

24GClaims1,857

24DCodes billed10

24AFirst – last monthMay 2019 – Nov 2022

Compared with peers

Next to other Dentist providers in Wisconsin

Rank by total paid#96 of 185

Median peer was paid$28K

This provider vs. median0.9×

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
2019	147	$2K
2020	1,182	$11K
2021	183	$2K
2022	345	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	38%	220	186	$9K
D0220	Intraoral - periapical first radiographic image	19%	438	355	$5K
D1110	Prophylaxis - adult	18%	172	146	$5K
D0274	Bitewings - four radiographic images	6.5%	136	117	$2K
D0330	Panoramic radiographic image	5.8%	29	26	$1K
D1208	Topical application of fluoride, excluding varnish	5.2%	94	85	$1K
D0230	Intraoral - periapical each additional radiographic image	3.8%	259	144	$940.80
D0210	Intraoral - complete series of radiographic images	2.6%	28	24	$651.45
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	1.0%	21	17	$249.12
D1999		0%	460	309	$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.