Belter, Jacqueline

Belter, Jacqueline was paid $765.52 by Medicaid between Jul 2020 and Mar 2024, across 1 billing code. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.

33Billing provider infoBELTER, JACQUELINE
OSHKOSH, WI 54902

33aNPI1295852432assigned 03/23/2007

33bProvider typeDentist

28Total paid$765.52

24GClaims54

24DCodes billed1

24AFirst – last monthJul 2020 – Mar 2024

Compared with peers

Next to other Dentist providers in Wisconsin

Rank by total paid#166 of 185

Median peer was paid$28K

This provider vs. median0.0×

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
2020	13	$143.28
2021	12	$159.20
2023	15	$245.03
2024incomplete	14	$218.01

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	100%	54	48	$765.52

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.