Daniel C Walters JR DDS PA

Daniel C Walters JR DDS PA was paid $24K by Medicaid between Apr 2018 and Oct 2024, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 68% of everything it billed.

33Billing provider infoDANIEL C WALTERS JR DDS PA
LUMBERTON, NC 28358

33aNPI1962429712assigned 07/17/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$24K

24GClaims1,030

24DCodes billed4

24AFirst – last monthApr 2018 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in North Carolina

Rank by total paid#519 of 756

Median peer was paid$121K

This provider vs. median0.2×

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

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	68%	724	643	$16K
D1110	Prophylaxis - adult	21%	142	132	$5K
D1208	Topical application of fluoride, excluding varnish	9.7%	150	135	$2K
D1120	Dental cleaning, childProphylaxis - child	1.5%	14	13	$358.56

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.

From NPPES

Who's on the registration

Authorized officialWALTERS, DANIEL (PRESIDENT)