Dental
Fulton, Melani
Fulton, Melani was paid $14K by Medicaid between Sep 2021 and Sep 2024, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 47% of everything it billed.
33Billing provider infoFULTON, MELANI
WEST DES MOINES, IA 50266
WEST DES MOINES, IA 50266
33aNPI1720560931assigned 09/04/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$14K
24GClaims558
24DCodes billed4
24AFirst – last monthSep 2021 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Iowa
Rank by total paid#253 of 437
Median peer was paid$22K
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 | |
|---|---|---|---|
| 2021 | 69 | $2K | |
| 2022 | 181 | $4K | |
| 2023 | 179 | $4K | |
| 2024incomplete | 129 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 47% | 177 | 173 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 36% | 262 | 260 | $5K |
| D1206 | Topical application of fluoride varnish | 10% | 81 | 81 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.1% | 38 | 37 | $1K |
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.