Dental
Waters, Mark
Waters, Mark was paid $4K by Medicaid between Jan 2018 and Mar 2019, across 7 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 23% of everything it billed.
33Billing provider infoWATERS, MARK
CLOVIS, NM 88101
CLOVIS, NM 88101
33aNPI1699789586assigned 07/28/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$4K
24GClaims191
24DCodes billed7
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other General Practice Dentistry providers in New Mexico
Rank by total paid#165 of 202
Median peer was paid$44K
This provider vs. median0.1×
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 | 177 | $4K | |
| 2019 | 14 | $244.44 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 23% | 54 | 54 | $942.84 |
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 25 | 25 | $764.25 |
| D1110 | Prophylaxis - adult | 18% | 16 | 16 | $716.48 |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 15 | 15 | $503.70 |
| D0274 | Bitewings - four radiographic images | 12% | 17 | 17 | $482.29 |
| D0220 | Intraoral - periapical first radiographic image | 8.9% | 33 | 33 | $360.36 |
| D0230 | Intraoral - periapical each additional radiographic image | 6.7% | 31 | 31 | $270.32 |
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.