Dental
Wilde, Lewis
Wilde, Lewis was paid $20K by Medicaid between Oct 2021 and Aug 2023, across 8 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 25% of everything it billed.
33Billing provider infoWILDE, LEWIS
GALLUP, NM 87301
GALLUP, NM 87301
33aNPI1922673599assigned 05/25/2021
33bProvider typeDentist
28Total paid$20K
24GClaims828
24DCodes billed8
24AFirst – last monthOct 2021 – Aug 2023
Compared with peers
Next to other Dentist providers in New Mexico
Rank by total paid#112 of 179
Median peer was paid$47K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2021 | 614 | $15K | |
| 2022 | 176 | $4K | |
| 2023 | 38 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 25% | 139 | 139 | $5K |
| D0274 | Bitewings - four radiographic images | 18% | 117 | 117 | $4K |
| D1110 | Prophylaxis - adult | 17% | 70 | 70 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 133 | 133 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 67 | 67 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 9.2% | 157 | 156 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.2% | 132 | 132 | $1K |
| D1206 | Topical application of fluoride varnish | 1.2% | 13 | 13 | $232.93 |
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.