Dental
Greenfield Optimal Dental Care LLC
Greenfield Optimal Dental Care LLC was paid $581K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is D1110, Prophylaxis - adult — 20% of everything it billed.
33Billing provider infoGREENFIELD OPTIMAL DENTAL CARE LLC
GREENFIELD, WI 53228
GREENFIELD, WI 53228
33aNPI1376930990assigned 04/21/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$581K
24GClaims27,041
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Wisconsin
Rank by total paid#34 of 208
Median peer was paid$26K
This provider vs. median22×
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 | 4,605 | $87K | |
| 2019 | 4,339 | $75K | |
| 2020 | 2,459 | $45K | |
| 2021 | 2,050 | $36K | |
| 2022 | 3,256 | $87K | |
| 2023 | 5,639 | $141K | |
| 2024incomplete | 4,693 | $110K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 20% | 4,224 | 3,821 | $119K |
| D0210 | Intraoral - complete series of radiographic images | 13% | 1,581 | 1,480 | $75K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 4,446 | 4,128 | $70K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.6% | 2,509 | 2,329 | $56K |
| D0274 | Bitewings - four radiographic images | 8.7% | 2,855 | 2,494 | $51K |
| D1206 | Topical application of fluoride varnish | 8.7% | 3,665 | 3,402 | $50K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.6% | 2,405 | 2,124 | $50K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.5% | 777 | 467 | $38K |
| D0140 | Limited oral evaluation - problem focused | 3.4% | 1,203 | 1,083 | $20K |
| D0272 | Bitewings - two radiographic images | 3.0% | 1,343 | 1,195 | $18K |
| D0330 | Panoramic radiographic image | 1.6% | 305 | 260 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 228 | 129 | $8K |
6 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 942 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 106 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 103 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 204 | $2K |
| D1351 | Sealant - per tooth | <1% | 124 | $2K |
| D1330 | 0% | 21 | $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 officialIGWIKE, EMMANUEL (MANAGER/PART OWNER)