Dental
Fresh Wave Dental Care
Fresh Wave Dental Care was paid $788K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 14% of everything it billed.
33Billing provider infoFRESH WAVE DENTAL CARE
ENTERPRISE, AL 36330
ENTERPRISE, AL 36330
33aNPI1134392517assigned 04/08/2008
33bProvider typeDentist
28Total paid$788K
24GClaims33,172
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Alabama
Rank by total paid#15 of 160
Median peer was paid$24K
This provider vs. median33×
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 | 3,906 | $92K | |
| 2019 | 3,300 | $68K | |
| 2020 | 2,872 | $51K | |
| 2021 | 6,088 | $141K | |
| 2022 | 6,145 | $173K | |
| 2023 | 6,086 | $162K | |
| 2024incomplete | 4,775 | $102K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 4,296 | 3,900 | $108K |
| D1110 | Prophylaxis - adult | 12% | 2,976 | 2,690 | $96K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 12% | 1,648 | 1,031 | $96K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 1,384 | 923 | $95K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 5,016 | 4,564 | $84K |
| D1208 | Topical application of fluoride, excluding varnish | 7.8% | 4,834 | 4,337 | $61K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.8% | 2,591 | 2,277 | $54K |
| D0330 | Panoramic radiographic image | 5.1% | 1,130 | 1,002 | $40K |
| D0274 | Bitewings - four radiographic images | 4.9% | 2,031 | 1,796 | $39K |
| D0272 | Bitewings - two radiographic images | 4.2% | 2,186 | 1,966 | $33K |
| D1206 | Topical application of fluoride varnish | 4.0% | 1,931 | 1,782 | $31K |
| D1354 | 1.9% | 889 | 265 | $15K |
5 more codes
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 officialHAWN, DEBBIELEE (OFFICE MANGER)