Dental
Welvista
Welvista was paid $618K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is D2150, Silver amalgam - two surfaces, primary or permanent — 13% of everything it billed.
33Billing provider infoWELVISTA
FAIRFAX, SC 29827
FAIRFAX, SC 29827
33aNPI1033290937assigned 10/18/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$618K
24GClaims17,623
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#65 of 331
Median peer was paid$75K
This provider vs. median8.2×
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 | 2,147 | $63K | |
| 2019 | 1,961 | $62K | |
| 2020 | 1,207 | $37K | |
| 2021 | 2,748 | $100K | |
| 2022 | 3,404 | $119K | |
| 2023 | 3,461 | $127K | |
| 2024incomplete | 2,695 | $109K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2150 | Silver amalgam - two surfaces, primary or permanent | 13% | 1,045 | 731 | $80K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 13% | 2,440 | 2,236 | $79K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 1,830 | 1,830 | $64K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.8% | 2,053 | 2,053 | $48K |
| D7140 | Extraction, erupted tooth or exposed root | 6.8% | 380 | 333 | $42K |
| D1110 | Prophylaxis - adult | 6.8% | 833 | 833 | $42K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.6% | 388 | 282 | $41K |
| D1206 | Topical application of fluoride varnish | 6.4% | 2,377 | 2,377 | $39K |
| D0272 | Bitewings - two radiographic images | 6.3% | 2,070 | 2,070 | $39K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 572 | 572 | $23K |
| D0274 | Bitewings - four radiographic images | 3.1% | 685 | 685 | $19K |
| D2140 | 3.0% | 311 | 247 | $19K |
7 more codes
| D1208 | Topical application of fluoride, excluding varnish | 2.4% | 906 | $15K |
| D0140 | Limited oral evaluation - problem focused | 2.3% | 374 | $15K |
| D0330 | Panoramic radiographic image | 2.3% | 362 | $14K |
| D2160 | 1.7% | 113 | $11K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 99 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 721 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.4% | 64 | $9K |
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 (OPERATIONS DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Welvista | Dillon, SC | $1.48M |
| Welvista | Manning, SC | $1.44M |
| Welvista | Varnville, SC | $276K |
| Welvista | Summerton, SC | $47K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.