Wilson, Don

Wilson, Don was paid $20K by Medicaid between Jan 2018 and Oct 2018, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 33% of everything it billed.

33Billing provider infoWILSON, DON
MC MINNVILLE, TN 37110

33aNPI1659360261assigned 10/17/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$20K

24GClaims757

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2018

Compared with peers

Next to other General Practice Dentistry providers in Tennessee

Rank by total paid#261 of 336

Median peer was paid$123K

This provider vs. median0.2×

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
2018	757	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	33%	274	273	$6K
D1110	Prophylaxis - adult	31%	144	144	$6K
D1206	Topical application of fluoride varnish	25%	255	255	$5K
D1120	Dental cleaning, childProphylaxis - child	9.2%	58	58	$2K
D0272	Bitewings - two radiographic images	2.3%	26	26	$444.72

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.