Dental
Wilson, Andrea
Wilson, Andrea was paid $4K by Medicaid between Apr 2021 and Oct 2022, across 18 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 34% of everything it billed.
33Billing provider infoWILSON, ANDREA
FARGO, ND 58102
FARGO, ND 58102
33aNPI1134431729assigned 07/12/2010
33bProvider typeDentist
28Total paid$4K
24GClaims11,046
24DCodes billed18
24AFirst – last monthApr 2021 – Oct 2022
Compared with peers
Next to other Dentist providers in North Dakota
Rank by total paid#21 of 33
Median peer was paid$14K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2021 | 6,845 | $4K | |
| 2022 | 4,201 | $39.36 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 34% | 2,510 | 403 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 29% | 1,744 | 424 | $1K |
| D2394 | 15% | 1,021 | 366 | $662.70 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.0% | 678 | 275 | $361.74 |
| D1110 | Prophylaxis - adult | 3.3% | 583 | 439 | $147.58 |
| D0330 | Panoramic radiographic image | 2.8% | 239 | 145 | $123.80 |
| D0274 | Bitewings - four radiographic images | 2.1% | 540 | 369 | $94.85 |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 488 | 379 | $92.56 |
| D1206 | Topical application of fluoride varnish | 1.3% | 855 | 636 | $59.10 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 742 | 525 | $41.19 |
| D0140 | Limited oral evaluation - problem focused | <1% | 282 | 183 | $39.36 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 642 | 409 | $33.60 |
6 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.