Dental
Waggoner, Tesha
Waggoner, Tesha was paid $327K by Medicaid between Sep 2022 and Aug 2024, across 24 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.
33Billing provider infoWAGGONER, TESHA
HILLSBORO, OR 97123
HILLSBORO, OR 97123
33aNPI1821403924assigned 06/26/2014
33bProvider typeDentist
28Total paid$327K
24GClaims7,753
24DCodes billed24
24AFirst – last monthSep 2022 – Aug 2024
Compared with peers
Next to other Dentist providers in Oregon
Rank by total paid#35 of 233
Median peer was paid$19K
This provider vs. median18×
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 | |
|---|---|---|---|
| 2022 | 483 | $11K | |
| 2023 | 4,946 | $184K | |
| 2024incomplete | 2,324 | $132K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 1,327 | 1,312 | $79K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 339 | 158 | $54K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 750 | 741 | $41K |
| D1206 | Topical application of fluoride varnish | 9.8% | 948 | 936 | $32K |
| D7140 | Extraction, erupted tooth or exposed root | 6.3% | 185 | 90 | $21K |
| D1351 | Sealant - per tooth | 4.6% | 381 | 127 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.1% | 304 | 303 | $13K |
| D0272 | Bitewings - two radiographic images | 4.1% | 479 | 476 | $13K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.6% | 224 | 202 | $12K |
| D0240 | 3.1% | 432 | 233 | $10K | |
| D1208 | Topical application of fluoride, excluding varnish | 1.8% | 308 | 306 | $6K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.6% | 50 | 13 | $5K |
12 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 326 | $5K |
| D0145 | Oral evaluation for a patient under three years of age | 1.2% | 105 | $4K |
| D9310 | 1.1% | 34 | $4K | |
| D0603 | <1% | 344 | $3K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 43 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 237 | $2K |
| D0170 | <1% | 42 | $2K | |
| D0601 | <1% | 126 | $1K | |
| D1330 | <1% | 703 | $1K | |
| D0602 | <1% | 30 | $308.00 | |
| D9990 | <1% | 12 | $38.00 | |
| D9912 | <1% | 24 | $8.00 |
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.