Clinic
Lakeshore Community Dental Clinic
Lakeshore Community Dental Clinic was paid $25K by Medicaid between Feb 2018 and Apr 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 36% of everything it billed.
33Billing provider infoLAKESHORE COMMUNITY DENTAL CLINIC
CLEVELAND, WI 53015
CLEVELAND, WI 53015
33aNPI1023275013assigned 05/19/2008
33bProvider typeDental Clinic/Center
28Total paid$25K
24GClaims1,289
24DCodes billed6
24AFirst – last monthFeb 2018 – Apr 2024
Compared with peers
Next to other Dental Clinic/Center providers in Wisconsin
Rank by total paid#45 of 51
Median peer was paid$1.07M
This provider vs. median0.0×
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 | 246 | $4K | |
| 2019 | 206 | $3K | |
| 2020 | 86 | $1K | |
| 2021 | 215 | $4K | |
| 2022 | 310 | $8K | |
| 2023 | 181 | $4K | |
| 2024incomplete | 45 | $750.57 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 36% | 557 | 547 | $9K |
| D1110 | Prophylaxis - adult | 24% | 186 | 183 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 22% | 382 | 374 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.6% | 75 | 75 | $2K |
| D0274 | Bitewings - four radiographic images | 5.5% | 62 | 62 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 4.8% | 27 | 27 | $1K |
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 officialDODGE, BARBARA (DEAN, HEALTH AND HUMAN SERVICES)