Dental
Blake C Wullbrandt
Blake C Wullbrandt was paid $3.46M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is D0120, dental checkup, returning patient — 12% of everything it billed.
33Billing provider infoBLAKE C WULLBRANDT
KEENE, NH 03431
KEENE, NH 03431
33aNPI1700811734assigned 07/11/2006
33bProvider typePediatric Dentist
28Total paid$3.46M
24GClaims86,777
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New Hampshire
Rank by total paid#5 of 36
Median peer was paid$260K
This provider vs. median13×
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 | 10,467 | $404K | |
| 2019 | 12,790 | $478K | |
| 2020 | 9,780 | $356K | |
| 2021 | 13,070 | $506K | |
| 2022 | 12,928 | $466K | |
| 2023 | 13,882 | $586K | |
| 2024incomplete | 13,860 | $665K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 13,957 | 13,786 | $429K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 11,091 | 10,929 | $426K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 11% | 3,697 | 1,689 | $388K |
| D1206 | Topical application of fluoride varnish | 9.2% | 16,137 | 15,908 | $319K |
| D1110 | Prophylaxis - adult | 8.9% | 5,566 | 5,479 | $307K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 7.4% | 5,515 | 5,100 | $256K |
| D1351 | Sealant - per tooth | 6.6% | 7,217 | 2,369 | $230K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.1% | 735 | 304 | $142K |
| D0272 | Bitewings - two radiographic images | 4.0% | 5,116 | 5,024 | $137K |
| D7140 | Extraction, erupted tooth or exposed root | 3.6% | 1,222 | 765 | $124K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.5% | 1,013 | 562 | $121K |
| D0330 | Panoramic radiographic image | 3.1% | 2,180 | 2,099 | $106K |
17 more codes
| D0274 | Bitewings - four radiographic images | 2.8% | 2,832 | $97K |
| D2140 | 2.4% | 940 | $84K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 1,415 | $81K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.9% | 654 | $65K |
| D1354 | 1.7% | 2,054 | $57K | |
| D2160 | <1% | 222 | $29K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 487 | $23K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,222 | $14K |
| D2331 | <1% | 94 | $10K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 78 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 418 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 49 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 20 | $2K |
| D9987 | <1% | 1,783 | $5.00 | |
| D9986 | 0% | 883 | $0.00 | |
| D0180 | 0% | 13 | $0.00 | |
| D0603 | 0% | 167 | $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 officialWULLBRANDT, BLAKE (OWNER)