Dental
Wilson, David
Wilson, David was paid $36K by Medicaid between Mar 2022 and Sep 2024, across 3 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 60% of everything it billed.
33Billing provider infoWILSON, DAVID
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
33aNPI1124231261assigned 05/07/2007
33bProvider typeEndodontist
28Total paid$36K
24GClaims688
24DCodes billed3
24AFirst – last monthMar 2022 – Sep 2024
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 | |
|---|---|---|---|
| 2022 | 203 | $10K | |
| 2023 | 250 | $12K | |
| 2024incomplete | 235 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 60% | 188 | 186 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 24% | 300 | 269 | $9K |
| D0364 | 15% | 200 | 184 | $5K |
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.