Dental
Wilson, Benjamin
Wilson, Benjamin was paid $133K by Medicaid between Mar 2018 and May 2020, across 19 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 31% of everything it billed.
33Billing provider infoWILSON, BENJAMIN
INDEPENDENCE, MO 64050
INDEPENDENCE, MO 64050
33aNPI1790905800assigned 04/30/2007
33bProvider typeDentist
28Total paid$133K
24GClaims4,534
24DCodes billed19
24AFirst – last monthMar 2018 – May 2020
Compared with peers
Next to other Dentist providers in Missouri
Rank by total paid#131 of 284
Median peer was paid$109K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2018 | 680 | $14K | |
| 2019 | 3,317 | $99K | |
| 2020 | 537 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 31% | 602 | 150 | $42K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 307 | 185 | $18K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.7% | 255 | 162 | $13K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.6% | 483 | 482 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.1% | 426 | 426 | $8K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.4% | 294 | 284 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 4.2% | 540 | 540 | $6K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.3% | 86 | 31 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | 3.2% | 97 | 61 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 116 | 116 | $4K |
| D0272 | Bitewings - two radiographic images | 3.0% | 302 | 302 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.4% | 347 | 200 | $3K |
7 more codes
| D1110 | Prophylaxis - adult | 2.4% | 114 | $3K |
| D0274 | Bitewings - four radiographic images | 2.0% | 143 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 286 | $2K |
| D1351 | Sealant - per tooth | <1% | 40 | $796.00 |
| D1206 | Topical application of fluoride varnish | <1% | 60 | $750.00 |
| D0330 | Panoramic radiographic image | <1% | 19 | $501.00 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 17 | $288.00 |
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.