Dental
Wates, Lucius
Wates, Lucius was paid $11K by Medicaid between Jan 2018 and Aug 2018, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.
33Billing provider infoWATES, LUCIUS
KINGSTREE, SC 29556
KINGSTREE, SC 29556
33aNPI1245218593assigned 01/06/2006
33bProvider typeDentist
28Total paid$11K
24GClaims338
24DCodes billed9
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers
Next to other Dentist providers in South Carolina
Rank by total paid#117 of 166
Median peer was paid$67K
This provider vs. median0.2×
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 | 338 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 29% | 62 | 62 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 16% | 22 | 15 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 61 | 61 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 31 | 31 | $1K |
| D1206 | Topical application of fluoride varnish | 10% | 68 | 68 | $1K |
| D0272 | Bitewings - two radiographic images | 9.1% | 51 | 51 | $965.94 |
| D1120 | Dental cleaning, childProphylaxis - child | 5.9% | 18 | 18 | $626.40 |
| D0140 | Limited oral evaluation - problem focused | 4.7% | 13 | 13 | $500.50 |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 12 | 12 | $153.96 |
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.