Weatherford, Mary

Weatherford, Mary was paid $16K by Medicaid between Jan 2018 and Sep 2020, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.

33Billing provider infoWEATHERFORD, MARY
WYNNE, AR 72396

33aNPI1881852499assigned 05/30/2008

33bProvider typeDentist

28Total paid$16K

24GClaims624

24DCodes billed6

24AFirst – last monthJan 2018 – Sep 2020

Compared with peers

Next to other Dentist providers in Arkansas

Rank by total paid#144 of 211

Median peer was paid$44K

This provider vs. median0.4×

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	383	$10K
2019	113	$3K
2020	128	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	31%	105	104	$5K
D1208	Topical application of fluoride, excluding varnish	29%	239	234	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	24%	153	148	$4K
D0272	Bitewings - two radiographic images	13%	103	101	$2K
D1120	Dental cleaning, childProphylaxis - child	2.6%	12	12	$423.20
D0274	Bitewings - four radiographic images	1.1%	12	12	$177.60

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.