Clinic
Wilen Dentistry PLLC
Wilen Dentistry PLLC was paid $17K by Medicaid between Oct 2021 and Dec 2024, across 6 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 43% of everything it billed.
33Billing provider infoWILEN DENTISTRY PLLC
SPEARFISH, SD 57783
SPEARFISH, SD 57783
33aNPI1932726742assigned 06/26/2020
33bProvider typeDental Clinic/Center
28Total paid$17K
24GClaims587
24DCodes billed6
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in South Dakota
Rank by total paid#35 of 54
Median peer was paid$30K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2021 | 14 | $267.52 | |
| 2022 | 96 | $2K | |
| 2023 | 190 | $5K | |
| 2024incomplete | 287 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 43% | 300 | 291 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 36% | 203 | 195 | $6K |
| D1110 | Prophylaxis - adult | 13% | 42 | 42 | $2K |
| D4910 | 6.5% | 12 | 12 | $1K | |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 14 | 14 | $183.36 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 16 | 14 | $142.60 |
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.
From NPPES
Who's on the registration
Authorized officialWILEN, BRYCE (DENTIST/OWNER)