WOODLAWN LAKE DENTAL PARTNERS PLLC

NPI: 1043864648 · SAN ANTONIO, TX 78201 · General Practice Dentistry · NPI assigned 07/31/2019

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official WRIGHT, WHITNEY controls 12+ related entities in our dataset. Read more

$98K

Total Medicaid Paid

8,174

Total Claims

6,151

Beneficiaries

Codes Billed

2020-11

First Month

2024-11

Last Month

Provider Details

Authorized Official	WRIGHT, WHITNEY (OFFICER)
NPI Enumeration Date	07/31/2019

Other providers sharing the same authorized official: WRIGHT, WHITNEY

Provider	City	State	Total Paid
RISA DENTAL MANAGMENT	PHOENIX	AZ	$7.77M
AURORA NORTH DENTAL PARTNERS PLLC	AURORA	CO	$2.36M
CIVIC CENTER DENTAL PARTNERS WRIGHT PLLC	NORTH LAS VEGAS	NV	$1.38M
FEDERAL HEIGHTS DENTAL PARTNERS PLLC	DENVER	CO	$1.32M
DENVER SOUTH DENTAL PARTNERS PLLC	DENVER	CO	$1.29M
AURORA SOUTH DENTAL PARTNERS PLLC	AURORA	CO	$936K
COMMERCE CITY DENTAL PARTNERS PLLC	COMMERCE CITY	CO	$857K
WHEAT RIDGE DENTAL PARTNERS PLLC	WHEAT RIDGE	CO	$503K
ALHAMBRA PEDIATRIC DENTAL PARTNERS LLC	PHOENIX	AZ	$290K
BOULDER CROSSINGS DENTAL PARTNERS PLLC	LAS VEGAS	NV	$226K
CULEBRA MEADOWS DENTAL PARTNERS PLLC	SAN ANTONIO	TX	$55K
RISAS O.S. DENTAL PARTNERS AZ LLC	PHOENIX	AZ	$8K

Code	Description	Claims	Beneficiaries	Total Paid
D1110	Prophylaxis - adult	632	600	$29K
D0274	Bitewings - four radiographic images	954	900	$24K
D0120	Periodic oral evaluation - established patient	637	611	$16K
D0230	Intraoral - periapical each additional radiographic image	2,789	1,058	$12K
D0220	Intraoral - periapical first radiographic image	1,123	1,032	$9K
D0150	Comprehensive oral evaluation - new or established patient	126	114	$4K
D1206	Topical application of fluoride varnish	185	182	$2K
D0330	Panoramic radiographic image	58	51	$809.60
D1330		837	787	$687.15
D1120	Prophylaxis - child	15	15	$480.50
D1208	Topical application of fluoride, excluding varnish	28	27	$367.50
D0603		748	732	$0.00
D0602		42	42	$0.00