Walters Family Denistry

Walters Family Denistry was paid $237K by Medicaid between Feb 2018 and Oct 2024, across 19 billing codes. Its largest line is D1110, Prophylaxis - adult — 18% of everything it billed.

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	575	$10K
2019	5,648	$100K
2020	2,256	$51K
2021	688	$15K
2022	531	$9K
2023	1,839	$39K
2024incomplete	565	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	18%	1,535	1,209	$42K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	15%	856	306	$35K
D0330	Panoramic radiographic image	13%	1,601	1,155	$31K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	9.4%	1,522	1,209	$22K
D0150	Comprehensive oral evaluation - new or established patient	8.7%	1,282	959	$21K
D0274	Bitewings - four radiographic images	7.6%	1,474	1,132	$18K
D8670	Periodic orthodontic treatment visit	5.4%	211	117	$13K
D1120	Dental cleaning, childProphylaxis - child	4.3%	785	621	$10K
D0340		2.7%	296	236	$6K
D1208	Topical application of fluoride, excluding varnish	2.7%	521	442	$6K
D2391	Resin-based composite - one surface, posterior, primary or permanent	2.6%	190	70	$6K
D0272	Bitewings - two radiographic images	2.6%	531	400	$6K

7 more codes

D0140	Limited oral evaluation - problem focused	2.4%	497	$6K
D2150	Silver amalgam - two surfaces, primary or permanent	2.4%	104	$6K
D0210	Intraoral - complete series of radiographic images	1.2%	71	$3K
D0350		1.2%	296	$3K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	<1%	29	$1K
D0220	Intraoral - periapical first radiographic image	<1%	262	$701.00
D0470		<1%	39	$594.54

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.

From NPPES

Who's on the registration

Authorized officialTALBERT, CYNTHIA (CREDENTIALING ANALYST)