Wallace, Deborah

Wallace, Deborah was paid $16K by Medicaid between Jan 2018 and Apr 2018, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 24% of everything it billed.

33Billing provider infoWALLACE, DEBORAH
DOVER, TN 37058

33aNPI1124195359assigned 11/30/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$16K

24GClaims614

24DCodes billed6

24AFirst – last monthJan 2018 – Apr 2018

Compared with peers

Next to other General Practice Dentistry providers in Tennessee

Rank by total paid#270 of 336

Median peer was paid$123K

This provider vs. median0.1×

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	614	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	24%	167	165	$4K
D1110	Prophylaxis - adult	23%	94	92	$4K
D1120	Dental cleaning, childProphylaxis - child	21%	106	105	$3K
D1206	Topical application of fluoride varnish	21%	172	170	$3K
D0272	Bitewings - two radiographic images	6.2%	59	57	$1K
D0330	Panoramic radiographic image	4.8%	16	16	$795.68

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.