Walsworth Family Dentistry, P.C.

Walsworth Family Dentistry, P.C. was paid $1K by Medicaid between Jul 2019 and Aug 2020, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 42% of everything it billed.

33Billing provider infoWALSWORTH FAMILY DENTISTRY, P.C.
WAVERLY, IA 50677

33aNPI1346761731assigned 07/06/2017

33bProvider typeGeneral Practice Dentistry

28Total paid$1K

24GClaims60

24DCodes billed3

24AFirst – last monthJul 2019 – Aug 2020

Compared with peers

Next to other General Practice Dentistry providers in Iowa

Rank by total paid#372 of 437

Median peer was paid$22K

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
2019	38	$1K
2020	22	$224.16

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	42%	12	12	$511.37
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	38%	35	27	$473.30
D1206	Topical application of fluoride varnish	20%	13	13	$245.23

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.

From NPPES

Who's on the registration

Authorized officialWALSWORTH, JOEL (OWNER)