Dental
Wooley Family Dentistry
Wooley Family Dentistry was paid $515K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoWOOLEY FAMILY DENTISTRY
SUMMERVILLE, SC 29483
SUMMERVILLE, SC 29483
33aNPI1508069006assigned 06/11/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$515K
24GClaims14,083
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#74 of 331
Median peer was paid$75K
This provider vs. median6.8×
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 | 2,962 | $108K | |
| 2019 | 2,705 | $100K | |
| 2020 | 1,567 | $62K | |
| 2021 | 1,748 | $67K | |
| 2022 | 2,146 | $80K | |
| 2023 | 1,582 | $50K | |
| 2024incomplete | 1,373 | $46K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 3,076 | 3,031 | $153K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19% | 1,068 | 643 | $98K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 2,939 | 2,903 | $65K |
| D0330 | Panoramic radiographic image | 8.2% | 898 | 886 | $42K |
| D0274 | Bitewings - four radiographic images | 6.4% | 1,241 | 1,226 | $33K |
| D0272 | Bitewings - two radiographic images | 5.7% | 1,585 | 1,552 | $29K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 286 | 209 | $21K |
| D1208 | Topical application of fluoride, excluding varnish | 3.6% | 1,162 | 1,139 | $19K |
| D0140 | Limited oral evaluation - problem focused | 3.1% | 440 | 437 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 369 | 360 | $15K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.7% | 254 | 244 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.1% | 46 | 36 | $5K |
3 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.
From NPPES
Who's on the registration
Authorized officialWEBSTER, MELISSA (OFFICE MANAGER)