Family Dentistry SC

Family Dentistry SC was paid $25K by Medicaid between Jan 2018 and Oct 2024, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 51% of everything it billed.

33Billing provider infoFAMILY DENTISTRY SC
NEW RICHMOND, WI 54017

33aNPI1205915287assigned 11/02/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$25K

24GClaims1,280

24DCodes billed3

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in Wisconsin

Rank by total paid#106 of 208

Median peer was paid$26K

This provider vs. median0.9×

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	83	$1K
2019	150	$2K
2020	85	$1K
2021	205	$3K
2022	252	$6K
2023	357	$7K
2024incomplete	148	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	51%	447	419	$12K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	49%	821	763	$12K
D1208	Topical application of fluoride, excluding varnish	<1%	12	12	$152.68

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 officialMIKE, JOHN (DENTIST)