Wellspan Medical Group
Wellspan Medical Group was paid $100K by Medicaid between Feb 2024 and Dec 2024, across 16 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 25% of everything it billed.
YORK, PA 17403
Next to other General Practice Dentistry providers in Pennsylvania
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 2,309 | $100K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 25% | 479 | 470 | $26K |
| D7140 | Extraction, erupted tooth or exposed root | 24% | 271 | 255 | $24K |
| D9920 | 23% | 195 | 194 | $23K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.9% | 341 | 333 | $8K |
| D1110 | Prophylaxis - adult | 5.8% | 185 | 178 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 131 | 128 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 3.1% | 400 | 394 | $3K |
| D0274 | Bitewings - four radiographic images | 2.0% | 74 | 72 | $2K |
| D1206 | Topical application of fluoride varnish | 1.8% | 110 | 110 | $2K |
| D0330 | Panoramic radiographic image | <1% | 26 | 26 | $954.35 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 13 | 13 | $780.00 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 15 | 15 | $450.00 |
4 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Wellspan Medical Group | York, PA | $1.02M |
| Wellspan Medical Group | Ephrata, PA | $404K |
| Wellspan Medical Group | York, PA | $367K |
| Wellspan Medical Group | Leola, PA | $322K |
| Wellspan Medical Group | New Freedom, PA | $263K |
| Wellspan Medical Group | Reinholds, PA | $201K |
| Wellspan Medical Group | Fairfield, PA | $180K |
| Wellspan Medical Group | Hanover, PA | $87K |
| Wellspan Medical Group | Ephrata, PA | $74K |
| Wellspan Medical Group | Hagerstown, MD | $71K |
| Wellspan Medical Group | Mercersburg, PA | $65K |
| Wellspan Medical Group | Red Lion, PA | $58K |
| Wellspan Medical Group | New Oxford, PA | $40K |
| Wellspan Medical Group | Ephrata, PA | $32K |
| Wellspan Medical Group | Chambersburg, PA | $22K |
| Wellspan Medical Group | York, PA | $19K |
| Wellspan Medical Group | York, PA | $16K |
| Wellspan Medical Group | York, PA | $13K |
| Wellspan Medical Group | Jacobus, PA | $10K |
| Wellspan Medical Group | Lebanon, PA | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.