Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WALTER FAMILY DENTISTRY PC

NPI: 1902521263 · WHEELING, WV 26003 · General Practice Dentistry · NPI assigned 10/10/2022

$12K
Total Medicaid Paid
474
Total Claims
266
Beneficiaries
10
Codes Billed
2024-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWALTER, DONALD (DENTIST/PRESIDENT)
NPI Enumeration Date10/10/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 474 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 Sealant - per tooth 167 15 $3K
D0330 Panoramic radiographic image 51 42 $2K
D0150 Comprehensive oral evaluation - new or established patient 72 62 $2K
D1110 Prophylaxis - adult 31 26 $1K
D1208 Topical application of fluoride, excluding varnish 69 59 $1K
D1120 Prophylaxis - child 14 14 $616.00
D0274 Bitewings - four radiographic images 16 12 $447.70
D1320 18 12 $286.83
D1310 18 12 $0.00
D1330 18 12 $0.00