Dental
Fall Creek Dental
Fall Creek Dental was paid $35K by Medicaid between Jan 2018 and Feb 2022, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.
33Billing provider infoFALL CREEK DENTAL
FALL CREEK, WI 54742
FALL CREEK, WI 54742
33aNPI1295955342assigned 04/30/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$35K
24GClaims2,135
24DCodes billed6
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers
Next to other General Practice Dentistry providers in Wisconsin
Rank by total paid#98 of 208
Median peer was paid$26K
This provider vs. median1.3×
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 | 413 | $8K | |
| 2019 | 580 | $10K | |
| 2020 | 356 | $6K | |
| 2021 | 694 | $11K | |
| 2022 | 92 | $44.58 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 40% | 566 | 550 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 717 | 677 | $9K |
| D1206 | Topical application of fluoride varnish | 16% | 497 | 475 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.5% | 131 | 127 | $3K |
| D0274 | Bitewings - four radiographic images | 6.5% | 138 | 134 | $2K |
| D1351 | Sealant - per tooth | 4.0% | 86 | 18 | $1K |
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 officialPILGRIM, TONY (DENTIST)