Dental
Wisam, Thamer
Wisam, Thamer was paid $295K by Medicaid between Nov 2021 and Nov 2022, across 16 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 17% of everything it billed.
33Billing provider infoWISAM, THAMER
NORTH CHESTERFIELD, VA 23236
NORTH CHESTERFIELD, VA 23236
33aNPI1396412151assigned 08/27/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$295K
24GClaims4,348
24DCodes billed16
24AFirst – last monthNov 2021 – Nov 2022
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#117 of 549
Median peer was paid$29K
This provider vs. median10×
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 | |
|---|---|---|---|
| 2021 | 827 | $55K | |
| 2022 | 3,521 | $241K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 17% | 820 | 713 | $49K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 16% | 594 | 217 | $46K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 14% | 326 | 190 | $42K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 389 | 209 | $36K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.3% | 733 | 717 | $24K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.6% | 169 | 106 | $20K |
| D2950 | 6.4% | 169 | 96 | $19K | |
| D1110 | Prophylaxis - adult | 4.5% | 247 | 247 | $13K |
| D0330 | Panoramic radiographic image | 3.3% | 177 | 177 | $10K |
| D0140 | Limited oral evaluation - problem focused | 2.8% | 310 | 304 | $8K |
| D2332 | 2.0% | 48 | 25 | $6K | |
| D3310 | 2.0% | 16 | 12 | $6K |
4 more codes
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.