Waggoner, William

Waggoner, William was paid $1.12M by Medicaid between Jan 2018 and Jan 2019, across 32 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.

33Billing provider infoWAGGONER, WILLIAM
LAS VEGAS, NV 89117

33aNPI1558337584assigned 02/28/2006

33bProvider typePediatric Dentist

28Total paid$1.12M

24GClaims44,793

24DCodes billed32

24AFirst – last monthJan 2018 – Jan 2019

Compared with peers

Next to other Pediatric Dentist providers in Nevada

Rank by total paid#18 of 85

Median peer was paid$244K

This provider vs. median4.6×

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	43,658	$1.08M
2019	1,135	$38K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	21%	6,589	5,490	$236K
D1206	Topical application of fluoride varnish	16%	6,248	5,233	$176K
D1351	Sealant - per tooth	6.9%	5,255	1,061	$77K
D0150	Comprehensive oral evaluation - new or established patient	6.9%	2,986	2,490	$77K
D2930	Prefabricated stainless steel crown - primary tooth	6.5%	1,585	593	$73K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	6.2%	1,783	813	$70K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	4.9%	3,068	2,590	$55K
D9248		4.6%	863	660	$51K
D7140	Extraction, erupted tooth or exposed root	4.1%	1,782	719	$46K
D0272	Bitewings - two radiographic images	3.8%	3,044	2,531	$42K
D0140	Limited oral evaluation - problem focused	3.5%	1,445	1,196	$39K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	2.7%	3,013	2,137	$31K

20 more codes

D2391	Resin-based composite - one surface, posterior, primary or permanent	2.3%	890	$26K
D0330	Panoramic radiographic image	2.2%	825	$25K
D2150	Silver amalgam - two surfaces, primary or permanent	2.1%	563	$24K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	1.4%	489	$15K
D0240		1.4%	1,445	$15K
D2140		<1%	299	$9K
D0274	Bitewings - four radiographic images	<1%	323	$6K
D2330		<1%	144	$5K
D0220	Intraoral - periapical first radiographic image	<1%	682	$5K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	<1%	63	$3K
D1208	Topical application of fluoride, excluding varnish	<1%	444	$3K
D3120		<1%	385	$3K
D1510		<1%	37	$3K
D2331		<1%	53	$3K
D1353		<1%	177	$2K
D2332		<1%	15	$830.30
D1354		<1%	54	$381.30
D0170		<1%	16	$258.16
D0230	Intraoral - periapical each additional radiographic image	<1%	18	$100.13
D9215		<1%	210	$6.15

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.