Dental
Devall, Terry
Devall, Terry was paid $75K by Medicaid between Jan 2018 and Mar 2018, across 17 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 21% of everything it billed.
33Billing provider infoDEVALL, TERRY
JACKSON, TN 38301
JACKSON, TN 38301
33aNPI1720276009assigned 10/11/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$75K
24GClaims2,337
24DCodes billed17
24AFirst – last monthJan 2018 – Mar 2018
Compared with peers
Next to other General Practice Dentistry providers in Tennessee
Rank by total paid#196 of 336
Median peer was paid$123K
This provider vs. median0.6×
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 | 2,337 | $75K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 21% | 392 | 381 | $16K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 404 | 391 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.9% | 68 | 47 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.2% | 89 | 54 | $7K |
| D1206 | Topical application of fluoride varnish | 8.2% | 267 | 262 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.0% | 127 | 122 | $5K |
| D1351 | Sealant - per tooth | 5.3% | 155 | 40 | $4K |
| D0330 | Panoramic radiographic image | 3.9% | 111 | 103 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 3.3% | 37 | 37 | $2K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.2% | 18 | 13 | $2K |
| D0272 | Bitewings - two radiographic images | 3.2% | 161 | 157 | $2K |
| D0274 | Bitewings - four radiographic images | 2.7% | 90 | 88 | $2K |
5 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 154 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 1.8% | 87 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.7% | 134 | $1K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 30 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | 1.2% | 13 | $912.01 |
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.