Wiedenman, Charlotte

Wiedenman, Charlotte was paid $3K by Medicaid between Jul 2021 and Aug 2023, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 45% of everything it billed.

33Billing provider infoWIEDENMAN, CHARLOTTE
AIKEN, SC 29801

33aNPI1699900399assigned 05/25/2009

33bProvider typeDentist

28Total paid$3K

24GClaims109

24DCodes billed3

24AFirst – last monthJul 2021 – Aug 2023

Compared with peers

Next to other Dentist providers in South Carolina

Rank by total paid#141 of 166

Median peer was paid$67K

This provider vs. median0.0×

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
2021	13	$246.22
2022	39	$1K
2023	57	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	45%	28	28	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	31%	42	42	$971.60
D0272	Bitewings - two radiographic images	24%	39	39	$732.58

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.