Dental
Scenic River Dental LLC
Scenic River Dental LLC was paid $0.00 by Medicaid between Aug 2021 and Dec 2024, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 0% of everything it billed.
33Billing provider infoSCENIC RIVER DENTAL LLC
SAINT CROIX FALLS, WI 54024
SAINT CROIX FALLS, WI 54024
33aNPI1295298685assigned 04/11/2019
33bProvider typeDentist
28Total paid$0.00
24GClaims573
24DCodes billed7
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers
Next to other Dentist providers in Wisconsin
Rank by total paid#183 of 185
Median peer was paid$28K
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 | 31 | $0.00 | |
| 2022 | 14 | $0.00 | |
| 2024incomplete | 528 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 138 | 127 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 49 | 28 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 179 | 166 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 21 | 12 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 70 | 69 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 102 | 97 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 14 | 14 | $0.00 |
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 officialLINDBERG, JOE (OWNER)