Dental
Mary Ann Weatherford DDS, PA
Mary Ann Weatherford DDS, PA was paid $106K by Medicaid between Jan 2018 and Jul 2022, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 26% of everything it billed.
33Billing provider infoMARY ANN WEATHERFORD DDS, PA
WYNNE, AR 72396
WYNNE, AR 72396
33aNPI1609025451assigned 09/17/2008
33bProvider typeDentist
28Total paid$106K
24GClaims4,024
24DCodes billed10
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers
Next to other Dentist providers in Arkansas
Rank by total paid#70 of 211
Median peer was paid$44K
This provider vs. median2.4×
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 | |
|---|---|---|---|
| 2018 | 926 | $22K | |
| 2019 | 995 | $26K | |
| 2020 | 318 | $5K | |
| 2021 | 1,003 | $29K | |
| 2022 | 782 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 1,114 | 850 | $28K |
| D1110 | Prophylaxis - adult | 24% | 571 | 472 | $25K |
| D1208 | Topical application of fluoride, excluding varnish | 21% | 1,199 | 929 | $22K |
| D0272 | Bitewings - two radiographic images | 9.7% | 491 | 369 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.4% | 263 | 224 | $9K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.7% | 78 | 30 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.5% | 165 | 124 | $4K |
| D0274 | Bitewings - four radiographic images | 1.2% | 65 | 65 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 15 | 12 | $216.60 |
| D1999 | 0% | 63 | 41 | $0.00 |
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 officialWEATHERFORD, MARY (DENTIST)