Dental
Archer, Wesley
Archer, Wesley was paid $100K by Medicaid between Dec 2023 and May 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
33Billing provider infoARCHER, WESLEY
HENDERSON, NV 89052
HENDERSON, NV 89052
33aNPI1457703290assigned 07/05/2016
33bProvider typePediatric Dentist
28Total paid$100K
24GClaims4,246
24DCodes billed18
24AFirst – last monthDec 2023 – May 2024
Compared with peers
Next to other Pediatric Dentist providers in Nevada
Rank by total paid#56 of 85
Median peer was paid$244K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2023 | 88 | $2K | |
| 2024incomplete | 4,158 | $98K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 713 | 700 | $30K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 547 | 537 | $16K |
| D1206 | Topical application of fluoride varnish | 14% | 689 | 674 | $14K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.1% | 71 | 17 | $8K |
| D0272 | Bitewings - two radiographic images | 5.2% | 263 | 261 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.9% | 122 | 120 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.0% | 462 | 136 | $4K |
| D0603 | 3.6% | 699 | 681 | $4K | |
| D0240 | 2.8% | 162 | 87 | $3K | |
| D1351 | Sealant - per tooth | 2.7% | 68 | 18 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 186 | 178 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | 2.1% | 80 | 77 | $2K |
6 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.2% | 41 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 32 | $867.10 |
| D0330 | Panoramic radiographic image | <1% | 55 | $837.20 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 12 | $800.40 |
| D1110 | Prophylaxis - adult | <1% | 16 | $702.65 |
| D0602 | <1% | 28 | $113.85 |
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.