Dental
Walters, Thomas
Walters, Thomas was paid $240.00 by Medicaid between Dec 2020 and Dec 2020, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.
33Billing provider infoWALTERS, THOMAS
NORTH EAST, PA 16428
NORTH EAST, PA 16428
33aNPI1407950033assigned 09/12/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$240.00
24GClaims24
24DCodes billed2
24AFirst – last monthDec 2020 – Dec 2020
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#826 of 847
Median peer was paid$37K
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 | 24 | $240.00 |
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% | 12 | 12 | $240.00 |
| D1999 | 0% | 12 | 12 | $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.