Dental
Womack, Gordon
Womack, Gordon was paid $1.19M by Medicaid between Jan 2018 and May 2019, across 25 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 20% of everything it billed.
33Billing provider infoWOMACK, GORDON
HANAHAN, SC 29410
HANAHAN, SC 29410
33aNPI1972600989assigned 09/20/2006
33bProvider typeDentist
28Total paid$1.19M
24GClaims45,189
24DCodes billed25
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other Dentist providers in South Carolina
Rank by total paid#15 of 166
Median peer was paid$67K
This provider vs. median18×
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 | 36,263 | $1.04M | |
| 2019 | 8,926 | $147K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 20% | 2,283 | 661 | $240K |
| D1120 | Dental cleaning, childProphylaxis - child | 10.0% | 7,034 | 6,296 | $118K |
| D1206 | Topical application of fluoride varnish | 9.8% | 4,950 | 4,263 | $117K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.5% | 6,871 | 6,112 | $101K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 7.1% | 1,640 | 819 | $84K |
| D7140 | Extraction, erupted tooth or exposed root | 6.9% | 1,386 | 641 | $82K |
| D1351 | Sealant - per tooth | 4.9% | 2,718 | 743 | $58K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.6% | 2,155 | 1,842 | $55K |
| D2140 | 4.3% | 1,305 | 705 | $51K | |
| D1208 | Topical application of fluoride, excluding varnish | 3.4% | 2,831 | 2,716 | $41K |
| D7960 | 3.3% | 496 | 289 | $40K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 1,577 | 1,417 | $38K |
13 more codes
| D0330 | Panoramic radiographic image | 2.5% | 652 | $30K |
| D1110 | Prophylaxis - adult | 2.4% | 1,012 | $29K |
| D0272 | Bitewings - two radiographic images | 2.3% | 3,156 | $27K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.1% | 362 | $25K |
| D0240 | 1.3% | 2,014 | $16K | |
| D2330 | <1% | 157 | $9K | |
| D0350 | <1% | 728 | $9K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 388 | $7K |
| D0274 | Bitewings - four radiographic images | <1% | 364 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 35 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 410 | $2K |
| D2160 | <1% | 16 | $937.25 | |
| D9420 | 0% | 649 | $0.00 |
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.