Clinic
Omar Wagner DDS INC
Omar Wagner DDS INC was paid $19K by Medicaid between Aug 2024 and Nov 2024, across 6 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 35% of everything it billed.
33Billing provider infoOMAR WAGNER DDS INC
VISALIA, CA 93291
VISALIA, CA 93291
33aNPI1285481770assigned 05/02/2024
33bProvider typeDental Clinic/Center
28Total paid$19K
24GClaims387
24DCodes billed6
24AFirst – last monthAug 2024 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#898 of 1,135
Median peer was paid$200K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2024incomplete | 387 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 35% | 103 | 102 | $7K |
| D1110 | Prophylaxis - adult | 31% | 67 | 66 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 23% | 95 | 94 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 6.7% | 91 | 90 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.3% | 13 | 13 | $630.00 |
| D0350 | <1% | 18 | 12 | $105.60 |
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 officialQUIROZ, ADRIANA (FRONT DESK)