Rizal, Ram

Rizal, Ram was paid $1K by Medicaid between May 2021 and Jun 2021, across 2 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 57% of everything it billed.

33Billing provider infoRIZAL, RAM
MAUSTON, WI 53948

33aNPI1265745962assigned 07/22/2010

33bProvider typeGeneral Practice Dentistry

28Total paid$1K

24GClaims55

24DCodes billed2

24AFirst – last monthMay 2021 – Jun 2021

Compared with peers

Next to other General Practice Dentistry providers in Wisconsin

Rank by total paid#165 of 208

Median peer was paid$26K

This provider vs. median0.0×

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
2021	55	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1208	Topical application of fluoride, excluding varnish	57%	37	36	$612.82
D0150	Comprehensive oral evaluation - new or established patient	43%	18	18	$456.90

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.