Dental
Wise Dentistry for Kids, PSC
Wise Dentistry for Kids, PSC was paid $635K by Medicaid between Jan 2018 and Jan 2020, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoWISE DENTISTRY FOR KIDS, PSC
CAMPBELLSVILLE, KY 42718
CAMPBELLSVILLE, KY 42718
33aNPI1790075166assigned 04/19/2011
33bProvider typePediatric Dentist
28Total paid$635K
24GClaims19,088
24DCodes billed19
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Pediatric Dentist providers in Kentucky
Rank by total paid#58 of 134
Median peer was paid$467K
This provider vs. median1.4×
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 | 7,400 | $235K | |
| 2019 | 10,429 | $354K | |
| 2020 | 1,259 | $46K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 3,584 | 3,440 | $163K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 1,434 | 773 | $93K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 3,426 | 3,299 | $86K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 13% | 711 | 227 | $81K |
| D1208 | Topical application of fluoride, excluding varnish | 9.3% | 3,986 | 3,828 | $59K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.9% | 1,228 | 1,150 | $44K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 4.4% | 431 | 146 | $28K |
| D0272 | Bitewings - two radiographic images | 4.3% | 1,546 | 1,474 | $27K |
| D9420 | 2.3% | 224 | 215 | $14K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 180 | 105 | $9K |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 189 | 91 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.2% | 316 | 308 | $7K |
7 more codes
| D0330 | Panoramic radiographic image | 1.0% | 175 | $7K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 310 | $3K |
| D1351 | Sealant - per tooth | <1% | 123 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 15 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 44 | $1K |
| D9986 | <1% | 1,154 | $621.00 | |
| D1110 | Prophylaxis - adult | <1% | 12 | $553.16 |
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 officialWISE, HEATHER (OWNER/DENTIST)