Wise, Justin

Wise, Justin was paid $5K by Medicaid between Nov 2020 and Mar 2021, across 5 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 35% of everything it billed.

33Billing provider infoWISE, JUSTIN
LAWRENCEBURG, IN 47025

33aNPI1902417454assigned 08/10/2020

33bProvider typeDentist

28Total paid$5K

24GClaims159

24DCodes billed5

24AFirst – last monthNov 2020 – Mar 2021

Compared with peers

Next to other Dentist providers in Indiana

Rank by total paid#334 of 452

Median peer was paid$59K

This provider vs. median0.1×

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
2020	70	$3K
2021	89	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	35%	47	45	$2K
D0330	Panoramic radiographic image	30%	29	29	$2K
D0210	Intraoral - complete series of radiographic images	21%	54	30	$1K
D0140	Limited oral evaluation - problem focused	11%	13	12	$545.04
D1206	Topical application of fluoride varnish	3.9%	16	13	$200.25

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.