Dental
Douglas Persich, DDS
Douglas Persich, DDS was paid $242K by Medicaid between Jan 2018 and Feb 2020, across 18 billing codes. Its largest line is D1110, Prophylaxis - adult — 16% of everything it billed.
33Billing provider infoDOUGLAS PERSICH, DDS
WEST ALLIS, WI 53214
WEST ALLIS, WI 53214
33aNPI1174604888assigned 10/18/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$242K
24GClaims11,146
24DCodes billed18
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other General Practice Dentistry providers in Wisconsin
Rank by total paid#53 of 208
Median peer was paid$26K
This provider vs. median9.3×
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 | 5,739 | $123K | |
| 2019 | 5,137 | $114K | |
| 2020 | 270 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 16% | 1,544 | 1,468 | $39K |
| D0140 | Limited oral evaluation - problem focused | 13% | 1,777 | 1,594 | $32K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 567 | 526 | $26K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 9.5% | 524 | 336 | $23K |
| D1206 | Topical application of fluoride varnish | 7.8% | 1,496 | 1,414 | $19K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.4% | 781 | 724 | $18K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.0% | 1,230 | 1,178 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.4% | 722 | 632 | $15K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6.2% | 191 | 113 | $15K |
| D0274 | Bitewings - four radiographic images | 3.4% | 486 | 466 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | 2.9% | 204 | 70 | $7K |
| D9110 | 2.7% | 271 | 251 | $7K |
6 more codes
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 officialPERSICH, DOUGLAS (OWNER)