Dental
Shawn R Walton
Shawn R Walton was paid $161K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 42% of everything it billed.
33Billing provider infoSHAWN R WALTON
SIOUX CITY, IA 51104
SIOUX CITY, IA 51104
33aNPI1659482206assigned 08/31/2006
33bProvider typeDentist
28Total paid$161K
24GClaims6,930
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Iowa
Rank by total paid#61 of 268
Median peer was paid$26K
This provider vs. median6.1×
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 | |
|---|---|---|---|
| 2018 | 958 | $22K | |
| 2019 | 1,192 | $29K | |
| 2020 | 1,125 | $26K | |
| 2021 | 1,056 | $23K | |
| 2022 | 1,030 | $23K | |
| 2023 | 812 | $20K | |
| 2024incomplete | 757 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 42% | 1,855 | 1,834 | $67K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 1,784 | 1,766 | $33K |
| D0274 | Bitewings - four radiographic images | 11% | 718 | 709 | $18K |
| D0220 | Intraoral - periapical first radiographic image | 8.7% | 1,350 | 1,316 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.9% | 275 | 271 | $6K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.8% | 104 | 66 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 3.2% | 114 | 106 | $5K |
| D1206 | Topical application of fluoride varnish | 3.0% | 253 | 253 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 1.7% | 197 | 191 | $3K |
| D2160 | <1% | 24 | 15 | $2K | |
| D0602 | <1% | 141 | 139 | $690.00 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 27 | 27 | $670.86 |
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 officialWALTON, SHAWN (DENTIST)