Physician
ST. Mary's Health Wagon
ST. Mary's Health Wagon was paid $0.00 by Medicaid between Jan 2024 and Apr 2024, across 9 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 0% of everything it billed.
33Billing provider infoST. MARY'S HEALTH WAGON
WISE, VA 24293
WISE, VA 24293
33aNPI1114356037assigned 11/02/2013
33bProvider typeFamily Medicine Physician
28Total paid$0.00
24GClaims500
24DCodes billed9
24AFirst – last monthJan 2024 – Apr 2024
Compared with peers
Next to other Family Medicine Physician providers in Virginia
Rank by total paid#762 of 772
Median peer was paid$13K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 500 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 0% | 33 | 33 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 77 | 75 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 119 | 119 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 16 | 16 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 72 | 26 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 13 | 12 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 26 | 26 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 32 | 32 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 112 | 112 | $0.00 |
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 officialGARDNER, TERESA (EXECUTIVE DIRECTOR)