Dental
Dental Wellness PA LLC
Dental Wellness PA LLC was paid $39K by Medicaid between Dec 2022 and Dec 2024, across 7 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 29% of everything it billed.
33Billing provider infoDENTAL WELLNESS PA LLC
PORTLAND, ME 04101
PORTLAND, ME 04101
33aNPI1699421800assigned 02/25/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$39K
24GClaims615
24DCodes billed7
24AFirst – last monthDec 2022 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Maine
Rank by total paid#15 of 44
Median peer was paid$10K
This provider vs. median3.9×
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 | 42 | $3K | |
| 2023 | 172 | $10K | |
| 2024incomplete | 401 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 29% | 190 | 179 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 25% | 82 | 43 | $10K |
| D0210 | Intraoral - complete series of radiographic images | 18% | 79 | 76 | $7K |
| D1110 | Prophylaxis - adult | 18% | 108 | 106 | $7K |
| D1206 | Topical application of fluoride varnish | 7.0% | 109 | 107 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.7% | 31 | 31 | $1K |
| D0190 | <1% | 16 | 15 | $307.05 |
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 officialKIM, EUGENE (DENTIST/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Element79 Solutions INC | Anaheim, CA | $147.31 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.