Wollensak, Richard

Wollensak, Richard was paid $106K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 59% of everything it billed.

33Billing provider infoWOLLENSAK, RICHARD
BARRE, VT 05641

33aNPI1265564272assigned 03/12/2007

33bProvider typeDentist

28Total paid$106K

24GClaims3,331

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Dentist providers in Vermont

Rank by total paid#16 of 47

Median peer was paid$48K

This provider vs. median2.2×

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	554	$18K
2019	493	$15K
2020	434	$13K
2021	395	$13K
2022	434	$14K
2023	578	$17K
2024incomplete	443	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	59%	1,422	1,258	$63K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	35%	1,618	1,406	$37K
D0274	Bitewings - four radiographic images	2.2%	94	83	$2K
D1120	Dental cleaning, childProphylaxis - child	1.9%	80	62	$2K
D1208	Topical application of fluoride, excluding varnish	1.3%	77	76	$1K
D1206	Topical application of fluoride varnish	<1%	40	27	$654.75

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.