Dental
Walls, Jeffrey
Walls, Jeffrey was paid $16K by Medicaid between Jan 2018 and Apr 2019, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 39% of everything it billed.
33Billing provider infoWALLS, JEFFREY
MISSOURI VALLEY, IA 51555
MISSOURI VALLEY, IA 51555
33aNPI1275682072assigned 01/09/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$16K
24GClaims887
24DCodes billed8
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other General Practice Dentistry providers in Iowa
Rank by total paid#238 of 437
Median peer was paid$22K
This provider vs. median0.7×
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 | 723 | $13K | |
| 2019 | 164 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 39% | 190 | 183 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 237 | 230 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 10% | 161 | 152 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 8.8% | 90 | 90 | $1K |
| D0272 | Bitewings - two radiographic images | 6.7% | 76 | 75 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.5% | 105 | 88 | $901.24 |
| D0330 | Panoramic radiographic image | 2.2% | 12 | 12 | $363.60 |
| D1206 | Topical application of fluoride varnish | 1.1% | 16 | 15 | $185.51 |
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.