Williams, Clarence

Williams, Clarence was paid $194K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.

33Billing provider infoWILLIAMS, CLARENCE
WAGENER, SC 29164

33aNPI1093803934assigned 10/10/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$194K

24GClaims7,120

24DCodes billed14

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in South Carolina

Rank by total paid#130 of 331

Median peer was paid$75K

This provider vs. median2.6×

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	1,436	$40K
2019	1,289	$35K
2020	691	$20K
2021	927	$22K
2022	1,026	$27K
2023	974	$28K
2024incomplete	777	$22K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	34%	1,335	1,335	$65K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	20%	1,695	1,695	$38K
D0274	Bitewings - four radiographic images	9.5%	682	682	$18K
D1206	Topical application of fluoride varnish	8.1%	963	963	$16K
D1120	Dental cleaning, childProphylaxis - child	5.7%	328	328	$11K
D0272	Bitewings - two radiographic images	4.7%	501	501	$9K
D0220	Intraoral - periapical first radiographic image	4.5%	728	713	$9K
D1208	Topical application of fluoride, excluding varnish	3.0%	367	367	$6K
D0330	Panoramic radiographic image	2.8%	116	116	$5K
D0140	Limited oral evaluation - problem focused	2.5%	128	128	$5K
D2391	Resin-based composite - one surface, posterior, primary or permanent	2.3%	61	37	$5K
D0150	Comprehensive oral evaluation - new or established patient	2.2%	110	110	$4K

2 more codes

D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	17	$2K
D0230	Intraoral - periapical each additional radiographic image	<1%	89	$853.46

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.