Dental
Wezmar, Ross
Wezmar, Ross was paid $457K by Medicaid between Sep 2019 and Nov 2021, across 21 billing codes. Its largest line is D1351, Sealant - per tooth — 17% of everything it billed.
33Billing provider infoWEZMAR, ROSS
WILKES BARRE, PA 18702
WILKES BARRE, PA 18702
33aNPI1811976061assigned 01/14/2006
33bProvider typePediatric Dentist
28Total paid$457K
24GClaims10,628
24DCodes billed21
24AFirst – last monthSep 2019 – Nov 2021
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#43 of 237
Median peer was paid$109K
This provider vs. median4.2×
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 | |
|---|---|---|---|
| 2019 | 91 | $2K | |
| 2020 | 32 | $830.10 | |
| 2021 | 10,505 | $454K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 17% | 2,201 | 359 | $76K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 1,260 | 1,259 | $47K |
| D9248 | 9.7% | 169 | 169 | $45K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.6% | 1,476 | 1,475 | $44K |
| D1206 | Topical application of fluoride varnish | 7.9% | 1,796 | 1,792 | $36K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.7% | 229 | 117 | $35K |
| D1110 | Prophylaxis - adult | 6.3% | 503 | 502 | $29K |
| D7140 | Extraction, erupted tooth or exposed root | 5.1% | 331 | 168 | $23K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.4% | 251 | 135 | $20K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.1% | 202 | 113 | $19K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.5% | 319 | 317 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 363 | 363 | $14K |
9 more codes
| D0272 | Bitewings - two radiographic images | 2.6% | 546 | $12K |
| D0274 | Bitewings - four radiographic images | 1.9% | 278 | $9K |
| D2140 | 1.6% | 107 | $7K | |
| D2332 | 1.5% | 55 | $7K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.2% | 47 | $5K |
| D0330 | Panoramic radiographic image | 1.1% | 96 | $5K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 305 | $4K |
| D2330 | <1% | 26 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 68 | $646.00 |
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.