Dental
Wildeman, Andrew
Wildeman, Andrew was paid $9K by Medicaid between Jul 2023 and Nov 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 63% of everything it billed.
33Billing provider infoWILDEMAN, ANDREW
MANAHAWKIN, NJ 08050
MANAHAWKIN, NJ 08050
33aNPI1740858869assigned 06/15/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$9K
24GClaims435
24DCodes billed6
24AFirst – last monthJul 2023 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#545 of 790
Median peer was paid$43K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2023 | 96 | $1K | |
| 2024incomplete | 339 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 63% | 133 | 132 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 140 | 102 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 7.2% | 13 | 13 | $638.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 6.0% | 45 | 45 | $531.00 |
| D0220 | Intraoral - periapical first radiographic image | 4.8% | 90 | 88 | $425.00 |
| D0274 | Bitewings - four radiographic images | 1.6% | 14 | 14 | $144.00 |
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.