Dental
Welvista
Welvista was paid $47K by Medicaid between Jan 2018 and Feb 2020, across 10 billing codes. Its largest line is D2150, Silver amalgam - two surfaces, primary or permanent — 26% of everything it billed.
33Billing provider infoWELVISTA
SUMMERTON, SC 29148
SUMMERTON, SC 29148
33aNPI1386727188assigned 10/23/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$47K
24GClaims1,494
24DCodes billed10
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#190 of 331
Median peer was paid$75K
This provider vs. median0.6×
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 | 644 | $18K | |
| 2019 | 568 | $18K | |
| 2020 | 282 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2150 | Silver amalgam - two surfaces, primary or permanent | 26% | 158 | 103 | $12K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 227 | 227 | $8K |
| D1206 | Topical application of fluoride varnish | 14% | 395 | 395 | $6K |
| D0272 | Bitewings - two radiographic images | 12% | 295 | 295 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 227 | 227 | $5K |
| D2140 | 8.3% | 66 | 47 | $4K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.5% | 40 | 40 | $2K |
| D1110 | Prophylaxis - adult | 3.2% | 30 | 30 | $2K |
| D0330 | Panoramic radiographic image | 3.0% | 28 | 28 | $1K |
| D0274 | Bitewings - four radiographic images | 1.7% | 28 | 28 | $770.28 |
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 officialFAMULINER, GEORGIA (OPERATIONS DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Welvista | Dillon, SC | $1.48M |
| Welvista | Manning, SC | $1.44M |
| Welvista | Fairfax, SC | $618K |
| Welvista | Varnville, SC | $276K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.