Dental
Wall, Gary
Wall, Gary was paid $790K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is D0120, dental checkup, returning patient — 40% of everything it billed.
33Billing provider infoWALL, GARY
SYRACUSE, UT 84075
SYRACUSE, UT 84075
33aNPI1760850523assigned 09/10/2015
33bProvider typePediatric Dentist
28Total paid$790K
24GClaims26,419
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Utah
Rank by total paid#46 of 152
Median peer was paid$311K
This provider vs. median2.5×
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 | 1,229 | $27K | |
| 2020 | 1,184 | $30K | |
| 2021 | 7,005 | $217K | |
| 2022 | 6,832 | $207K | |
| 2023 | 5,424 | $160K | |
| 2024incomplete | 4,745 | $149K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 40% | 3,444 | 3,399 | $313K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.2% | 723 | 339 | $65K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.2% | 3,308 | 3,278 | $57K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 402 | 398 | $41K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.0% | 689 | 317 | $40K |
| D1351 | Sealant - per tooth | 4.6% | 738 | 351 | $36K |
| D1206 | Topical application of fluoride varnish | 4.5% | 3,497 | 3,468 | $35K |
| D0272 | Bitewings - two radiographic images | 4.1% | 2,516 | 2,478 | $32K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 398 | 243 | $29K |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 4,071 | 3,986 | $28K |
| D2140 | 3.3% | 410 | 234 | $26K | |
| D7140 | Extraction, erupted tooth or exposed root | 2.8% | 508 | 219 | $22K |
7 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 3,875 | $20K |
| D0274 | Bitewings - four radiographic images | 2.5% | 1,214 | $20K |
| D0330 | Panoramic radiographic image | 1.6% | 182 | $13K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.1% | 178 | $8K |
| D1110 | Prophylaxis - adult | <1% | 228 | $4K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 25 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | $451.57 |
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.