Colvin, Wallace

Colvin, Wallace was paid $16K by Medicaid between Jan 2018 and Nov 2018, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 32% of everything it billed.

33Billing provider infoCOLVIN, WALLACE
MOUNT CLEMENS, MI 48043

33aNPI1730247222assigned 12/05/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$16K

24GClaims546

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2018

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#749 of 1,554

Median peer was paid$15K

This provider vs. median1.1×

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	546	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	32%	196	196	$5K
D1120	Dental cleaning, childProphylaxis - child	31%	124	124	$5K
D1208	Topical application of fluoride, excluding varnish	23%	156	156	$4K
D1351	Sealant - per tooth	10%	56	13	$2K
D0150	Comprehensive oral evaluation - new or established patient	3.4%	14	14	$552.00

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.