Dental
Welvista
Welvista was paid $276K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoWELVISTA
VARNVILLE, SC 29944
VARNVILLE, SC 29944
33aNPI1023527348assigned 09/29/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$276K
24GClaims8,922
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#107 of 331
Median peer was paid$75K
This provider vs. median3.7×
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 | 602 | $22K | |
| 2019 | 783 | $22K | |
| 2020 | 378 | $11K | |
| 2021 | 1,276 | $40K | |
| 2022 | 1,658 | $49K | |
| 2023 | 2,162 | $59K | |
| 2024incomplete | 2,063 | $74K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 1,278 | 1,278 | $45K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 16% | 573 | 397 | $44K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 13% | 1,088 | 1,059 | $35K |
| D1206 | Topical application of fluoride varnish | 12% | 2,055 | 2,055 | $34K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 1,208 | 1,208 | $29K |
| D0272 | Bitewings - two radiographic images | 8.9% | 1,341 | 1,341 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.9% | 400 | 400 | $16K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.2% | 131 | 98 | $14K |
| D2140 | 3.6% | 166 | 122 | $10K | |
| D1110 | Prophylaxis - adult | 2.4% | 131 | 131 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 1.9% | 315 | 315 | $5K |
| D0330 | Panoramic radiographic image | 1.8% | 100 | 100 | $5K |
3 more codes
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 officialFAMULINER, GEORGIA (SMILES OPERATIONS DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Welvista | Dillon, SC | $1.48M |
| Welvista | Manning, SC | $1.44M |
| Welvista | Fairfax, SC | $618K |
| Welvista | Summerton, SC | $47K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.