Open Arms Free Clinic

Open Arms Free Clinic was paid $233K by Medicaid between Aug 2020 and Dec 2024, across 14 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 38% of everything it billed.

33Billing provider infoOPEN ARMS FREE CLINIC
ELKHORN, WI 53121

33aNPI1144732272assigned 10/30/2017

33bProvider typeGeneral Practice Dentistry

28Total paid$233K

24GClaims11,325

24DCodes billed14

24AFirst – last monthAug 2020 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Wisconsin

Rank by total paid#54 of 208

Median peer was paid$26K

This provider vs. median9.0×

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
2020	145	$3K
2021	293	$6K
2022	2,994	$64K
2023	4,296	$84K
2024incomplete	3,597	$77K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	38%	5,077	5,007	$88K
D1351	Sealant - per tooth	17%	1,709	530	$40K
D0191		16%	2,587	2,556	$38K
D0210	Intraoral - complete series of radiographic images	6.3%	283	277	$15K
D0150	Comprehensive oral evaluation - new or established patient	5.6%	521	504	$13K
D1110	Prophylaxis - adult	5.3%	361	357	$12K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	4.6%	149	102	$11K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	2.6%	328	323	$6K
D1120	Dental cleaning, childProphylaxis - child	1.7%	149	149	$4K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	<1%	17	12	$2K
D0330	Panoramic radiographic image	<1%	33	33	$2K
D0140	Limited oral evaluation - problem focused	<1%	69	61	$2K

2 more codes

D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	18	$1K
D0274	Bitewings - four radiographic images	<1%	24	$570.42

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 officialNICHOLS, SARA (EXECUTIVE DIRECTOR)