Mollohan, Wayne

Mollohan, Wayne was paid $21K by Medicaid between Oct 2019 and Jan 2020, across 7 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 32% of everything it billed.

33Billing provider infoMOLLOHAN, WAYNE
WEST WARWICK, RI 02893

33aNPI1942280078assigned 01/17/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$21K

24GClaims584

24DCodes billed7

24AFirst – last monthOct 2019 – Jan 2020

Compared with peers

Next to other General Practice Dentistry providers in Rhode Island

Rank by total paid#59 of 86

Median peer was paid$77K

This provider vs. median0.3×

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
2019	325	$12K
2020	259	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	32%	191	179	$7K
D1120	Dental cleaning, childProphylaxis - child	30%	148	144	$7K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	116	106	$3K
D1110	Prophylaxis - adult	10%	36	31	$2K
D0272	Bitewings - two radiographic images	5.7%	51	51	$1K
D0330	Panoramic radiographic image	5.7%	19	19	$1K
D0274	Bitewings - four radiographic images	3.5%	23	17	$748.00

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.