Dental
Richard W. Wiedeman, DDS, PA
Richard W. Wiedeman, DDS, PA was paid $384K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 32% of everything it billed.
33Billing provider infoRICHARD W. WIEDEMAN, DDS, PA
BLACK MOUNTAIN, NC 28711
BLACK MOUNTAIN, NC 28711
33aNPI1124290218assigned 03/28/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$384K
24GClaims8,312
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in North Carolina
Rank by total paid#243 of 756
Median peer was paid$121K
This provider vs. median3.2×
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 | 2,142 | $114K | |
| 2019 | 1,403 | $68K | |
| 2020 | 776 | $29K | |
| 2021 | 1,061 | $56K | |
| 2022 | 1,006 | $42K | |
| 2023 | 1,055 | $42K | |
| 2024incomplete | 869 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 32% | 1,161 | 541 | $122K |
| D1110 | Prophylaxis - adult | 20% | 2,036 | 1,980 | $75K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 2,526 | 2,454 | $64K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.3% | 440 | 203 | $36K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 7.5% | 239 | 139 | $29K |
| D1206 | Topical application of fluoride varnish | 4.3% | 1,046 | 1,011 | $17K |
| D2332 | 4.1% | 174 | 90 | $16K | |
| D0274 | Bitewings - four radiographic images | 2.9% | 364 | 349 | $11K |
| D2331 | 2.3% | 117 | 68 | $9K | |
| D1120 | Dental cleaning, childProphylaxis - child | 1.2% | 171 | 168 | $5K |
| D9110 | <1% | 12 | 12 | $530.24 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 14 | 12 | $462.50 |
1 more codes
| D0272 | Bitewings - two radiographic images | <1% | 12 | $211.08 |
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 officialWIEDEMAN, RICHARD (PRESIDENT)