Dental
Walters, Campbell
Walters, Campbell was paid $67K by Medicaid between Nov 2018 and Mar 2022, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoWALTERS, CAMPBELL
CRYSTAL CITY, MO 63019
CRYSTAL CITY, MO 63019
33aNPI1891249652assigned 08/10/2016
33bProvider typeDentist
28Total paid$67K
24GClaims3,724
24DCodes billed12
24AFirst – last monthNov 2018 – Mar 2022
Compared with peers
Next to other Dentist providers in Missouri
Rank by total paid#167 of 284
Median peer was paid$109K
This provider vs. median0.6×
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 | 261 | $5K | |
| 2019 | 3,040 | $49K | |
| 2020 | 398 | $9K | |
| 2022 | 25 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 711 | 704 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 555 | 553 | $13K |
| D1206 | Topical application of fluoride varnish | 14% | 755 | 749 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 233 | 233 | $7K |
| D0274 | Bitewings - four radiographic images | 7.5% | 273 | 271 | $5K |
| D0272 | Bitewings - two radiographic images | 5.9% | 357 | 356 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.7% | 376 | 249 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.4% | 42 | 32 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 264 | 263 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.7% | 35 | 27 | $2K |
| D1351 | Sealant - per tooth | 2.0% | 84 | 25 | $1K |
| D1110 | Prophylaxis - adult | 1.7% | 39 | 39 | $1K |
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.