Dental
Eric J. Wisdom D.D.S., P.A.
Eric J. Wisdom D.D.S., P.A. was paid $61K by Medicaid between Jan 2018 and Feb 2020, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 21% of everything it billed.
33Billing provider infoERIC J. WISDOM D.D.S., P.A.
MANHATTAN, KS 66502
MANHATTAN, KS 66502
33aNPI1861418469assigned 07/15/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$61K
24GClaims2,601
24DCodes billed10
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other General Practice Dentistry providers in Kansas
Rank by total paid#87 of 203
Median peer was paid$40K
This provider vs. median1.5×
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 | 1,099 | $23K | |
| 2019 | 1,315 | $33K | |
| 2020 | 187 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 648 | 625 | $13K |
| D1206 | Topical application of fluoride varnish | 19% | 704 | 676 | $11K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 379 | 361 | $10K |
| D1110 | Prophylaxis - adult | 12% | 200 | 192 | $8K |
| D1351 | Sealant - per tooth | 11% | 288 | 41 | $7K |
| D0274 | Bitewings - four radiographic images | 6.4% | 146 | 141 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.1% | 44 | 29 | $3K |
| D0272 | Bitewings - two radiographic images | 4.6% | 152 | 144 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.7% | 24 | 12 | $2K |
| D0330 | Panoramic radiographic image | 1.3% | 16 | 13 | $772.00 |
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 officialWISDOM, ERIC (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Wisdom Family Dentistry, P.A. | Clay Center, KS | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.