Dental
Wells Dentistry PC
Wells Dentistry PC was paid $11K by Medicaid between Dec 2022 and May 2024, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 65% of everything it billed.
33Billing provider infoWELLS DENTISTRY PC
CASPER, WY 82601
CASPER, WY 82601
33aNPI1518491877assigned 04/13/2017
33bProvider typeDentist
28Total paid$11K
24GClaims230
24DCodes billed5
24AFirst – last monthDec 2022 – May 2024
Compared with peers
Next to other Dentist providers in Wyoming
Rank by total paid#23 of 40
Median peer was paid$14K
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 | |
|---|---|---|---|
| 2022 | 13 | $585.00 | |
| 2023 | 143 | $7K | |
| 2024incomplete | 74 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 65% | 126 | 126 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 60 | 60 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.5% | 17 | 17 | $725.22 |
| D0274 | Bitewings - four radiographic images | 5.7% | 15 | 15 | $639.90 |
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 12 | 12 | $219.48 |
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 officialWELLS, JESSICA (OWNER)