TRI-COUNTY COMMUNITY DENTAL CLINIC, INC.
NPI: 1336237551
· APPLETON, WI 54914
· 261QD0000X
$4.90M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
39,323 |
$618K |
| 2019 |
43,095 |
$643K |
| 2020 |
27,542 |
$428K |
| 2021 |
47,506 |
$712K |
| 2022 |
41,875 |
$872K |
| 2023 |
45,434 |
$836K |
| 2024 |
38,908 |
$789K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
|
47,792 |
41,019 |
$668K |
| D7140 |
|
12,357 |
7,437 |
$521K |
| D2392 |
|
8,118 |
5,325 |
$486K |
| D1120 |
|
18,168 |
17,285 |
$437K |
| D1351 |
|
15,703 |
4,455 |
$280K |
| D2391 |
|
6,078 |
3,789 |
$277K |
| D0140 |
|
13,297 |
11,869 |
$267K |
| D0150 |
|
10,403 |
9,955 |
$241K |
| D0120 |
|
13,819 |
13,146 |
$239K |
| D0274 |
|
10,703 |
10,233 |
$209K |
| D1354 |
|
24,428 |
6,230 |
$203K |
| D1110 |
|
5,928 |
5,621 |
$184K |
| D0330 |
|
4,466 |
4,251 |
$177K |
| D7210 |
|
1,502 |
1,198 |
$135K |
| D0191 |
|
9,660 |
9,089 |
$112K |
| D0220 |
|
13,888 |
12,440 |
$112K |
| D2393 |
|
1,418 |
1,172 |
$100K |
| D0272 |
|
6,249 |
5,948 |
$92K |
| D0210 |
|
846 |
812 |
$49K |
| D0270 |
|
4,521 |
4,215 |
$34K |
| D0230 |
|
5,228 |
3,592 |
$29K |
| D1208 |
|
1,027 |
999 |
$12K |
| D2930 |
|
85 |
71 |
$10K |
| D4346 |
|
39 |
39 |
$4K |
| D2940 |
|
137 |
103 |
$3K |
| D4355 |
|
50 |
44 |
$3K |
| D2330 |
|
56 |
37 |
$3K |
| D9110 |
|
105 |
98 |
$2K |
| D0350 |
|
126 |
109 |
$2K |
| D2394 |
|
30 |
27 |
$2K |
| D2335 |
|
15 |
12 |
$1K |
| D0460 |
|
570 |
552 |
$0.00 |
| D9230 |
|
580 |
472 |
$0.00 |
| D4921 |
|
123 |
109 |
$0.00 |
| D9215 |
|
19,707 |
16,789 |
$0.00 |
| D1310 |
|
134 |
131 |
$0.00 |
| D1330 |
|
24,867 |
23,593 |
$0.00 |
| D3120 |
|
1,415 |
1,131 |
$0.00 |
| D3110 |
|
45 |
40 |
$0.00 |