Dental
Nelson, Devin
Nelson, Devin was paid $4K by Medicaid between Nov 2020 and May 2022, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 97% of everything it billed.
33Billing provider infoNELSON, DEVIN
EVANSTON, WY 82930
EVANSTON, WY 82930
33aNPI1346505070assigned 07/09/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$4K
24GClaims62
24DCodes billed3
24AFirst – last monthNov 2020 – May 2022
Compared with peers
Next to other General Practice Dentistry providers in Wyoming
Rank by total paid#39 of 64
Median peer was paid$6K
This provider vs. median0.6×
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 | 14 | $119.20 | |
| 2021 | 15 | $2K | |
| 2022 | 33 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 97% | 33 | 30 | $4K |
| D1110 | Prophylaxis - adult | 3.1% | 14 | 14 | $119.20 |
| D0274 | Bitewings - four radiographic images | 0% | 15 | 15 | $0.00 |
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.