Nelson, Teresa

Nelson, Teresa was paid $25K by Medicaid between Jan 2018 and Aug 2021, across 13 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 34% of everything it billed.

33Billing provider infoNELSON, TERESA
KALISPELL, MT 59901

33aNPI1013039742assigned 04/04/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$25K

24GClaims1,106

24DCodes billed13

24AFirst – last monthJan 2018 – Aug 2021

Compared with peers

Next to other General Practice Dentistry providers in Montana

Rank by total paid#86 of 149

Median peer was paid$40K

This provider vs. median0.6×

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	425	$8K
2019	507	$13K
2020	148	$3K
2021	26	$496.80

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	34%	480	440	$8K
D1110	Prophylaxis - adult	15%	101	83	$4K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	11%	21	14	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	8.5%	101	96	$2K
D0274	Bitewings - four radiographic images	8.0%	70	63	$2K
D1120	Dental cleaning, childProphylaxis - child	5.5%	44	42	$1K
D0350		5.4%	76	58	$1K
D1320		4.2%	33	33	$1K
D0601		2.1%	61	56	$518.50
D1310		1.9%	50	50	$478.35
D0150	Comprehensive oral evaluation - new or established patient	1.8%	12	12	$442.98
D0602		1.1%	27	27	$258.58

1 more codes

D1330

<1%

$195.31

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.