Dental
Welton, David
Welton, David was paid $192K by Medicaid between Mar 2021 and Nov 2024, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.
33Billing provider infoWELTON, DAVID
LEWISTOWN, MT 59457
LEWISTOWN, MT 59457
33aNPI1366611477assigned 02/22/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$192K
24GClaims5,195
24DCodes billed16
24AFirst – last monthMar 2021 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Montana
Rank by total paid#30 of 149
Median peer was paid$40K
This provider vs. median4.9×
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 | |
|---|---|---|---|
| 2021 | 2,202 | $76K | |
| 2022 | 1,818 | $81K | |
| 2023 | 411 | $14K | |
| 2024incomplete | 764 | $22K |
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 | 19% | 450 | 251 | $36K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 16% | 518 | 250 | $30K |
| D0140 | Limited oral evaluation - problem focused | 12% | 742 | 709 | $23K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 12% | 196 | 134 | $22K |
| D1110 | Prophylaxis - adult | 7.7% | 268 | 262 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.6% | 317 | 302 | $13K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.0% | 332 | 292 | $12K |
| D0330 | Panoramic radiographic image | 5.3% | 381 | 368 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 4.5% | 819 | 768 | $9K |
| D9110 | 2.3% | 62 | 58 | $4K | |
| D0274 | Bitewings - four radiographic images | 2.2% | 302 | 290 | $4K |
| D1206 | Topical application of fluoride varnish | 2.1% | 196 | 194 | $4K |
4 more codes
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.