Dental
Soe L. Wynn, DMD, INC.
Soe L. Wynn, DMD, INC. was paid $1.35M by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is D0120, dental checkup, returning patient — 22% of everything it billed.
33Billing provider infoSOE L. WYNN, DMD, INC.
MODESTO, CA 95355
MODESTO, CA 95355
33aNPI1689795718assigned 04/03/2007
33bProvider typeDentist
28Total paid$1.35M
24GClaims46,405
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#400 of 2,314
Median peer was paid$185K
This provider vs. median7.3×
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 | 6,561 | $161K | |
| 2019 | 8,749 | $233K | |
| 2020 | 5,519 | $139K | |
| 2021 | 6,391 | $165K | |
| 2022 | 5,930 | $194K | |
| 2023 | 6,179 | $216K | |
| 2024incomplete | 7,076 | $238K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 5,491 | 5,491 | $302K |
| D1110 | Prophylaxis - adult | 19% | 2,948 | 2,946 | $251K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.9% | 3,154 | 3,154 | $119K |
| D0210 | Intraoral - complete series of radiographic images | 7.2% | 2,068 | 2,067 | $96K |
| D1351 | Sealant - per tooth | 6.1% | 3,059 | 757 | $83K |
| D1208 | Topical application of fluoride, excluding varnish | 5.7% | 6,089 | 6,086 | $77K |
| D0274 | Bitewings - four radiographic images | 5.1% | 3,247 | 3,247 | $68K |
| D2751 | Crown - porcelain fused to predominantly base metal | 3.4% | 100 | 79 | $46K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.1% | 790 | 417 | $42K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 631 | 631 | $42K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 10,380 | 5,370 | $41K |
| D0350 | 3.0% | 4,139 | 2,061 | $40K |
12 more codes
| D9430 | 2.7% | 1,155 | $36K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.6% | 319 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 1,756 | $20K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.2% | 138 | $16K |
| D2954 | 1.0% | 131 | $14K | |
| D2330 | <1% | 116 | $9K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 146 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 110 | $7K |
| D4341 | <1% | 52 | $4K | |
| D0272 | Bitewings - two radiographic images | <1% | 245 | $3K |
| D2140 | <1% | 19 | $1K | |
| D1999 | <1% | 122 | $40.00 |
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 officialWYNN, SOE (PRESIDENT)