Weatherford, Alvin

Weatherford, Alvin was paid $63K by Medicaid between Jan 2018 and Jun 2021, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 39% of everything it billed.

33Billing provider infoWEATHERFORD, ALVIN
HANAHAN, SC 29410

33aNPI1386860849assigned 04/17/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$63K

24GClaims2,195

24DCodes billed10

24AFirst – last monthJan 2018 – Jun 2021

Compared with peers

Next to other General Practice Dentistry providers in South Carolina

Rank by total paid#177 of 331

Median peer was paid$75K

This provider vs. median0.8×

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	703	$21K
2019	820	$23K
2020	614	$17K
2021	58	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	39%	652	608	$25K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	33%	809	760	$21K
D1206	Topical application of fluoride varnish	12%	329	302	$8K
D7140	Extraction, erupted tooth or exposed root	8.3%	56	51	$5K
D2391	Resin-based composite - one surface, posterior, primary or permanent	2.5%	37	27	$2K
D0274	Bitewings - four radiographic images	2.3%	95	90	$1K
D0220	Intraoral - periapical first radiographic image	1.5%	173	166	$912.80
D0140	Limited oral evaluation - problem focused	<1%	16	16	$259.20
D0150	Comprehensive oral evaluation - new or established patient	<1%	15	15	$252.60
D0272	Bitewings - two radiographic images	<1%	13	13	$122.20

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.