Clinic
DWH Dental PA
DWH Dental PA was paid $163K by Medicaid between Aug 2018 and Oct 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.
33Billing provider infoDWH DENTAL PA
WILLIAMSTON, SC 29697
WILLIAMSTON, SC 29697
33aNPI1811475189assigned 07/30/2018
33bProvider typeDental Clinic/Center
28Total paid$163K
24GClaims5,475
24DCodes billed12
24AFirst – last monthAug 2018 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in South Carolina
Rank by total paid#33 of 68
Median peer was paid$121K
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 | 302 | $8K | |
| 2019 | 1,477 | $50K | |
| 2020 | 1,038 | $29K | |
| 2021 | 956 | $26K | |
| 2022 | 895 | $26K | |
| 2023 | 680 | $20K | |
| 2024incomplete | 127 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 26% | 848 | 848 | $43K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 1,375 | 1,375 | $32K |
| D0274 | Bitewings - four radiographic images | 15% | 893 | 893 | $24K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 518 | 518 | $18K |
| D1208 | Topical application of fluoride, excluding varnish | 7.5% | 750 | 750 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.2% | 114 | 69 | $12K |
| D1206 | Topical application of fluoride varnish | 5.8% | 582 | 582 | $9K |
| D0330 | Panoramic radiographic image | 2.3% | 76 | 76 | $4K |
| D1351 | Sealant - per tooth | 2.2% | 117 | 41 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 66 | 66 | $3K |
| D0272 | Bitewings - two radiographic images | 1.4% | 124 | 124 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 12 | 12 | $390.00 |
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 officialHALL, DANIEL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Louisiana Foot and Ankle Specialists LLC | Lake Charles, LA | $134K |
| Daniel Hall DMD INC. | San Diego, CA | $71K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.