Dental
Whitehead, Tyler
Whitehead, Tyler was paid $30K by Medicaid between Jan 2018 and Sep 2023, across 10 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 25% of everything it billed.
33Billing provider infoWHITEHEAD, TYLER
GALLUP, NM 87301
GALLUP, NM 87301
33aNPI1881090736assigned 11/05/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$30K
24GClaims1,227
24DCodes billed10
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other General Practice Dentistry providers in New Mexico
Rank by total paid#113 of 202
Median peer was paid$44K
This provider vs. median0.7×
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 | 96 | $2K | |
| 2021 | 755 | $19K | |
| 2022 | 288 | $7K | |
| 2023 | 88 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 25% | 207 | 206 | $7K |
| D1110 | Prophylaxis - adult | 17% | 107 | 107 | $5K |
| D0274 | Bitewings - four radiographic images | 16% | 150 | 150 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 195 | 194 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 93 | 93 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 9.4% | 239 | 238 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.7% | 181 | 181 | $2K |
| D0140 | Limited oral evaluation - problem focused | 2.6% | 26 | 25 | $769.42 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.1% | 14 | 14 | $328.10 |
| D1206 | Topical application of fluoride varnish | <1% | 15 | 15 | $287.87 |
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.