Dental
Sanderson, Holly
Sanderson, Holly was paid $13K by Medicaid between Aug 2024 and Dec 2024, across 6 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 27% of everything it billed.
33Billing provider infoSANDERSON, HOLLY
WAUKESHA, WI 53188
WAUKESHA, WI 53188
33aNPI1043058357assigned 07/19/2024
33bProvider typeDental Hygienist
28Total paid$13K
24GClaims604
24DCodes billed6
24AFirst – last monthAug 2024 – Dec 2024
Compared with peers
Next to other Dental Hygienist providers in Wisconsin
Rank by total paid#89 of 141
Median peer was paid$28K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2024incomplete | 604 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 27% | 199 | 199 | $4K |
| D1110 | Prophylaxis - adult | 21% | 68 | 68 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 80 | 80 | $2K |
| D0191 | 18% | 154 | 154 | $2K | |
| D1351 | Sealant - per tooth | 14% | 78 | 28 | $2K |
| D1354 | 1.9% | 25 | 13 | $250.50 |
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.