Dental
Susanne S. Wallengren, DDS, LLC
Susanne S. Wallengren, DDS, LLC was paid $429K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 34% of everything it billed.
33Billing provider infoSUSANNE S. WALLENGREN, DDS, LLC
LUTHERVILLE, MD 21093
LUTHERVILLE, MD 21093
33aNPI1851769731assigned 09/09/2015
33bProvider typePediatric Dentist
28Total paid$429K
24GClaims15,237
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Maryland
Rank by total paid#83 of 150
Median peer was paid$536K
This provider vs. median0.8×
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 | 1,975 | $55K | |
| 2019 | 2,519 | $69K | |
| 2020 | 1,807 | $49K | |
| 2021 | 2,245 | $62K | |
| 2022 | 2,174 | $60K | |
| 2023 | 2,340 | $68K | |
| 2024incomplete | 2,177 | $66K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 34% | 3,388 | 3,336 | $147K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 3,960 | 3,899 | $117K |
| D1206 | Topical application of fluoride varnish | 26% | 4,449 | 4,383 | $110K |
| D1330 | 3.0% | 2,106 | 2,077 | $13K | |
| D1110 | Prophylaxis - adult | 2.9% | 202 | 202 | $12K |
| D0272 | Bitewings - two radiographic images | 2.6% | 729 | 715 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 156 | 156 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.7% | 61 | 37 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 161 | 149 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | 12 | $561.60 |
| D0274 | Bitewings - four radiographic images | <1% | 12 | 12 | $264.00 |
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 officialBLACK, LISA (PRACTICE ADMINISTRATOR)