Percival, Zachary

Percival, Zachary was paid $2K by Medicaid between Feb 2021 and Jun 2021, across 5 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 36% of everything it billed.

33Billing provider infoPERCIVAL, ZACHARY
ALTOONA, IA 50009

33aNPI1679929202assigned 05/12/2016

33bProvider typePediatric Dentist

28Total paid$2K

24GClaims215

24DCodes billed5

24AFirst – last monthFeb 2021 – Jun 2021

Compared with peers

Next to other Pediatric Dentist providers in Iowa

Rank by total paid#53 of 58

Median peer was paid$284K

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
2021	215	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	36%	85	74	$874.13
D1120	Dental cleaning, childProphylaxis - child	31%	50	42	$761.67
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	23%	47	42	$556.58
D0272	Bitewings - two radiographic images	7.3%	18	14	$180.07
D0220	Intraoral - periapical first radiographic image	3.3%	15	12	$81.84

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.