Wiseman, David

Wiseman, David was paid $35K by Medicaid between Jan 2019 and Mar 2022, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.

33Billing provider infoWISEMAN, DAVID
CEDARHURST, NY 11516

33aNPI1679629075assigned 01/26/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$35K

24GClaims1,738

24DCodes billed8

24AFirst – last monthJan 2019 – Mar 2022

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#1,227 of 2,184

Median peer was paid$54K

This provider vs. median0.7×

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
2019	240	$5K
2020	688	$14K
2021	728	$15K
2022	82	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	40%	346	346	$14K
D0274	Bitewings - four radiographic images	17%	283	283	$6K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	245	244	$5K
D0220	Intraoral - periapical first radiographic image	11%	387	387	$4K
D0230	Intraoral - periapical each additional radiographic image	9.5%	326	326	$3K
D0150	Comprehensive oral evaluation - new or established patient	6.7%	113	113	$2K
D1120	Dental cleaning, childProphylaxis - child	1.2%	14	14	$423.78
D1208	Topical application of fluoride, excluding varnish	<1%	24	24	$261.60

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.