Dental
ST. Croix Dental Health, LLC
ST. Croix Dental Health, LLC was paid $0.00 by Medicaid between Jul 2019 and Jul 2019, across 3 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 0% of everything it billed.
33Billing provider infoST. CROIX DENTAL HEALTH, LLC
WEBSTER, WI 54893
WEBSTER, WI 54893
33aNPI1164996997assigned 01/15/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$0.00
24GClaims79
24DCodes billed3
24AFirst – last monthJul 2019 – Jul 2019
Compared with peers
Next to other General Practice Dentistry providers in Wisconsin
Rank by total paid#206 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 | |
|---|---|---|---|
| 2019 | 79 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 28 | 25 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 35 | 18 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 16 | 15 | $0.00 |
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 officialMORTEL, TANYA (CREDENTIALING COORDINATOR)