Clinic
Delta Dental of Wisconsin Foundation INC
Delta Dental of Wisconsin Foundation INC was paid $29K by Medicaid between Nov 2021 and Nov 2024, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoDELTA DENTAL OF WISCONSIN FOUNDATION INC
STEVENS POINT, WI 54481
STEVENS POINT, WI 54481
33aNPI1134898786assigned 09/08/2021
33bProvider typeDental Clinic/Center
28Total paid$29K
24GClaims1,684
24DCodes billed6
24AFirst – last monthNov 2021 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Wisconsin
Rank by total paid#43 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 | |
|---|---|---|---|
| 2021 | 72 | $951.95 | |
| 2022 | 236 | $4K | |
| 2023 | 781 | $12K | |
| 2024incomplete | 595 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 312 | 261 | $8K |
| D1351 | Sealant - per tooth | 25% | 366 | 65 | $7K |
| D1206 | Topical application of fluoride varnish | 25% | 482 | 414 | $7K |
| D0191 | 21% | 480 | 416 | $6K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 25 | 25 | $741.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 19 | 18 | $270.64 |
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 officialBOSON, ANN (EXECUTIVE DIRECTOR)