Wilson, Thomas

Wilson, Thomas was paid $132K by Medicaid between Jan 2018 and Aug 2021, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.

33Billing provider infoWILSON, THOMAS
DES MOINES, IA 50322

33aNPI1699726414assigned 05/15/2006

33bProvider typePediatric Dentist

28Total paid$132K

24GClaims5,432

24DCodes billed10

24AFirst – last monthJan 2018 – Aug 2021

Compared with peers

Next to other Pediatric Dentist providers in Iowa

Rank by total paid#41 of 58

Median peer was paid$284K

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
2018	1,356	$34K
2019	1,604	$41K
2020	1,505	$33K
2021	967	$24K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	29%	1,194	1,129	$38K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	27%	1,626	1,542	$36K
D1208	Topical application of fluoride, excluding varnish	23%	1,731	1,638	$30K
D1110	Prophylaxis - adult	12%	406	375	$15K
D0272	Bitewings - two radiographic images	5.2%	329	305	$7K
D0330	Panoramic radiographic image	1.9%	59	56	$3K
D0150	Comprehensive oral evaluation - new or established patient	<1%	40	31	$1K
D2150	Silver amalgam - two surfaces, primary or permanent	<1%	20	12	$1K
D0274	Bitewings - four radiographic images	<1%	15	12	$455.28
D0220	Intraoral - periapical first radiographic image	<1%	12	12	$130.88

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.