Dental
Dental 360 Waukesha LLC
Dental 360 Waukesha LLC was paid $553K by Medicaid between Mar 2023 and Dec 2024, across 26 billing codes. Its largest line is D0330, Panoramic radiographic image — 20% of everything it billed.
33Billing provider infoDENTAL 360 WAUKESHA LLC
WAUKESHA, WI 53189
WAUKESHA, WI 53189
33aNPI1215527247assigned 01/23/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$553K
24GClaims19,011
24DCodes billed26
24AFirst – last monthMar 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Wisconsin
Rank by total paid#37 of 208
Median peer was paid$26K
This provider vs. median21×
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 | |
|---|---|---|---|
| 2023 | 7,129 | $232K | |
| 2024incomplete | 11,882 | $321K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 20% | 2,376 | 2,242 | $108K |
| D1351 | Sealant - per tooth | 13% | 3,667 | 382 | $73K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 13% | 759 | 317 | $71K |
| D1110 | Prophylaxis - adult | 9.3% | 1,617 | 1,516 | $52K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.9% | 2,050 | 1,930 | $49K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.3% | 771 | 396 | $46K |
| D0220 | Intraoral - periapical first radiographic image | 4.4% | 2,638 | 2,406 | $24K |
| D0140 | Limited oral evaluation - problem focused | 3.1% | 854 | 800 | $17K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.1% | 232 | 145 | $17K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.7% | 350 | 178 | $15K |
| D2394 | 2.3% | 151 | 107 | $13K | |
| D1208 | Topical application of fluoride, excluding varnish | 2.2% | 740 | 691 | $12K |
14 more codes
| D1120 | Dental cleaning, child | 1.9% | 383 | $10K |
| D1206 | Topical application of fluoride varnish | 1.9% | 707 | $10K |
| D0120 | Dental checkup, returning patient | 1.3% | 435 | $7K |
| D2335 | 1.1% | 90 | $6K | |
| D0274 | Bitewings - four radiographic images | 1.1% | 304 | $6K |
| D2332 | <1% | 67 | $5K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 536 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 73 | $3K |
| D2940 | <1% | 108 | $3K | |
| D2331 | <1% | 23 | $1K | |
| D7311 | <1% | 24 | $624.30 | |
| D9110 | <1% | 20 | $450.98 | |
| D9910 | <1% | 24 | $281.39 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 12 | $246.95 |
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 officialBABAR, REEMA (SOLE MEMBER)