Northwoods Family Dental SC

Northwoods Family Dental SC was paid $1K by Medicaid between Sep 2018 and Apr 2019, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 77% of everything it billed.

33Billing provider infoNORTHWOODS FAMILY DENTAL SC
RHINELANDER, WI 54501

33aNPI1053497289assigned 10/31/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$1K

24GClaims67

24DCodes billed3

24AFirst – last monthSep 2018 – Apr 2019

Compared with peers

Next to other General Practice Dentistry providers in Wisconsin

Rank by total paid#162 of 208

Median peer was paid$26K

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	42	$772.35
2019	25	$429.89

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	77%	40	38	$931.38
D1206	Topical application of fluoride varnish	12%	14	12	$143.68
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	11%	13	12	$127.18

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 officialPADGETT, MARY (DDS)