Dental
Vineyard Family Dental,s.C.
Vineyard Family Dental,s.C. was paid $358K by Medicaid between Jan 2018 and May 2019, across 21 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 14% of everything it billed.
33Billing provider infoVINEYARD FAMILY DENTAL,S.C.
MILWAUKEE, WI 53209
MILWAUKEE, WI 53209
33aNPI1255404844assigned 11/15/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$358K
24GClaims16,287
24DCodes billed21
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other General Practice Dentistry providers in Wisconsin
Rank by total paid#44 of 208
Median peer was paid$26K
This provider vs. median14×
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 | 11,933 | $270K | |
| 2019 | 4,354 | $88K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 966 | 636 | $50K |
| D4355 | 10% | 584 | 545 | $37K | |
| D0274 | Bitewings - four radiographic images | 7.9% | 2,053 | 1,625 | $28K |
| D1110 | Prophylaxis - adult | 6.9% | 1,001 | 897 | $25K |
| D0210 | Intraoral - complete series of radiographic images | 6.5% | 605 | 570 | $23K |
| D1351 | Sealant - per tooth | 6.2% | 1,473 | 394 | $22K |
| D0330 | Panoramic radiographic image | 5.7% | 591 | 545 | $20K |
| D1208 | Topical application of fluoride, excluding varnish | 5.6% | 1,721 | 1,615 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 1,031 | 948 | $20K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.7% | 828 | 776 | $17K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.7% | 277 | 218 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.5% | 1,229 | 1,113 | $16K |
9 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.4% | 398 | $16K |
| D7140 | Extraction, erupted tooth or exposed root | 3.5% | 321 | $12K |
| D9110 | 3.1% | 500 | $11K | |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 1,192 | $8K |
| D0140 | Limited oral evaluation - problem focused | 2.2% | 463 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 885 | $4K |
| D0240 | <1% | 126 | $1K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 14 | $1K |
| D0350 | <1% | 29 | $424.96 |
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 officialBAIK, CHUL-HA (OWNER)