Dental
Waltrous, Kevin
Waltrous, Kevin was paid $24K by Medicaid between Jan 2019 and Feb 2022, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 47% of everything it billed.
33Billing provider infoWALTROUS, KEVIN
ROCKAWAY PARK, NY 11694
ROCKAWAY PARK, NY 11694
33aNPI1558439307assigned 12/01/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$24K
24GClaims900
24DCodes billed6
24AFirst – last monthJan 2019 – Feb 2022
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#1,354 of 2,184
Median peer was paid$54K
This provider vs. median0.5×
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 | 119 | $2K | |
| 2020 | 178 | $6K | |
| 2021 | 578 | $16K | |
| 2022 | 25 | $565.18 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 47% | 306 | 305 | $11K |
| D0210 | Intraoral - complete series of radiographic images | 23% | 193 | 191 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 134 | 134 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.3% | 83 | 83 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.9% | 132 | 87 | $1K |
| D0274 | Bitewings - four radiographic images | 4.6% | 52 | 52 | $1K |
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.