Clinic
Tri-County Community Dental Clinic, INC.
Tri-County Community Dental Clinic, INC. was paid $4.90M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 14% of everything it billed.
33Billing provider infoTRI-COUNTY COMMUNITY DENTAL CLINIC, INC.
APPLETON, WI 54914
APPLETON, WI 54914
33aNPI1336237551assigned 10/11/2006
33bProvider typeDental Clinic/Center
28Total paid$4.90M
24GClaims283,683
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Wisconsin
Rank by total paid#9 of 51
Median peer was paid$1.07M
This provider vs. median4.6×
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 | 39,323 | $618K | |
| 2019 | 43,095 | $643K | |
| 2020 | 27,542 | $428K | |
| 2021 | 47,506 | $712K | |
| 2022 | 41,875 | $872K | |
| 2023 | 45,434 | $836K | |
| 2024incomplete | 38,908 | $789K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 14% | 47,792 | 41,019 | $668K |
| D7140 | Extraction, erupted tooth or exposed root | 11% | 12,357 | 7,437 | $521K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.9% | 8,118 | 5,325 | $486K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.9% | 18,168 | 17,285 | $437K |
| D1351 | Sealant - per tooth | 5.7% | 15,703 | 4,455 | $280K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.7% | 6,078 | 3,789 | $277K |
| D0140 | Limited oral evaluation - problem focused | 5.5% | 13,297 | 11,869 | $267K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.9% | 10,403 | 9,955 | $241K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.9% | 13,819 | 13,146 | $239K |
| D0274 | Bitewings - four radiographic images | 4.3% | 10,703 | 10,233 | $209K |
| D1354 | 4.2% | 24,428 | 6,230 | $203K | |
| D1110 | Prophylaxis - adult | 3.8% | 5,928 | 5,621 | $184K |
27 more codes
| D0330 | Panoramic radiographic image | 3.6% | 4,466 | $177K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.8% | 1,502 | $135K |
| D0191 | 2.3% | 9,660 | $112K | |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 13,888 | $112K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.0% | 1,418 | $100K |
| D0272 | Bitewings - two radiographic images | 1.9% | 6,249 | $92K |
| D0210 | Intraoral - complete series of radiographic images | 1.0% | 846 | $49K |
| D0270 | <1% | 4,521 | $34K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 5,228 | $29K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,027 | $12K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 85 | $10K |
| D4346 | <1% | 39 | $4K | |
| D2940 | <1% | 137 | $3K | |
| D4355 | <1% | 50 | $3K | |
| D2330 | <1% | 56 | $3K | |
| D9110 | <1% | 105 | $2K | |
| D0350 | <1% | 126 | $2K | |
| D2394 | <1% | 30 | $2K | |
| D2335 | <1% | 15 | $1K | |
| D0460 | 0% | 570 | $0.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 580 | $0.00 |
| D4921 | 0% | 123 | $0.00 | |
| D9215 | 0% | 19,707 | $0.00 | |
| D1310 | 0% | 134 | $0.00 | |
| D1330 | 0% | 24,867 | $0.00 | |
| D3120 | 0% | 1,415 | $0.00 | |
| D3110 | 0% | 45 | $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 officialDREXLER, SANDY (EXECUTIVE DIRECTOR)