Massa Wallace, Natalie

Massa Wallace, Natalie was paid $4K by Medicaid between Oct 2018 and Jan 2019, across 7 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 43% of everything it billed.

33Billing provider infoMASSA WALLACE, NATALIE
DELAWARE, OH 43015

33aNPI1194217315assigned 06/04/2018

33bProvider typeGeneral Practice Dentistry

28Total paid$4K

24GClaims141

24DCodes billed7

24AFirst – last monthOct 2018 – Jan 2019

Compared with peers

Next to other General Practice Dentistry providers in Ohio

Rank by total paid#666 of 870

Median peer was paid$40K

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	41	$485.09
2019	100	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	43%	31	18	$2K
D0210	Intraoral - complete series of radiographic images	15%	17	17	$627.00
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	35	35	$573.76
D1110	Prophylaxis - adult	13%	15	15	$535.89
D1120	Dental cleaning, childProphylaxis - child	7.8%	16	16	$315.00
D1208	Topical application of fluoride, excluding varnish	4.7%	13	13	$189.00
D0220	Intraoral - periapical first radiographic image	1.6%	14	12	$63.00

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.