Children's Dental Clinic of Green Bay, S.C.

Children's Dental Clinic of Green Bay, S.C. was paid $6K by Medicaid between Jun 2018 and Dec 2021, across 3 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 63% of everything it billed.

33Billing provider infoCHILDREN'S DENTAL CLINIC OF GREEN BAY, S.C.
DE PERE, WI 54115

33aNPI1205905619assigned 11/07/2006

33bProvider typePediatric Dentist

28Total paid$6K

24GClaims319

24DCodes billed3

24AFirst – last monthJun 2018 – Dec 2021

Compared with peers

Next to other Pediatric Dentist providers in Wisconsin

Rank by total paid#50 of 61

Median peer was paid$85K

This provider vs. median0.1×

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	69	$1K
2019	169	$4K
2020	41	$852.08
2021	40	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	63%	210	204	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	31%	95	95	$2K
D1120	Dental cleaning, childProphylaxis - child	6.0%	14	14	$329.40

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 officialMILLER, MARGARET (PEDIATRIC DENTIST)