Dental
Dahl, Tanner
Dahl, Tanner was paid $15K by Medicaid between Nov 2021 and Jul 2022, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 31% of everything it billed.
33Billing provider infoDAHL, TANNER
WALLA WALLA, WA 99362
WALLA WALLA, WA 99362
33aNPI1700438793assigned 07/10/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$15K
24GClaims692
24DCodes billed7
24AFirst – last monthNov 2021 – Jul 2022
Compared with peers
Next to other General Practice Dentistry providers in Washington
Rank by total paid#173 of 319
Median peer was paid$22K
This provider vs. median0.7×
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 | 13 | $336.00 | |
| 2022 | 679 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 31% | 163 | 163 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 28% | 103 | 103 | $4K |
| D1206 | Topical application of fluoride varnish | 20% | 159 | 159 | $3K |
| D0272 | Bitewings - two radiographic images | 8.2% | 115 | 115 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 5.1% | 68 | 68 | $741.00 |
| D1110 | Prophylaxis - adult | 4.5% | 14 | 14 | $658.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 70 | 53 | $468.00 |
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.