Medicaid Provider Spending

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

DANIEL C WALTERS JR DDS PA

NPI: 1962429712 · LUMBERTON, NC 28358 · General Practice Dentistry · NPI assigned 07/17/2006

$24K
Total Medicaid Paid
1,030
Total Claims
923
Beneficiaries
4
Codes Billed
2018-04
First Month
2024-10
Last Month

Provider Details

Authorized OfficialWALTERS, DANIEL (PRESIDENT)
NPI Enumeration Date07/17/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 101 $2K
2019 92 $2K
2020 177 $4K
2021 218 $5K
2022 105 $2K
2023 246 $6K
2024 91 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 724 643 $16K
D1110 Prophylaxis - adult 142 132 $5K
D1208 Topical application of fluoride, excluding varnish 150 135 $2K
D1120 Prophylaxis - child 14 13 $358.56