Dental
MDC Bellevue, L.L.C.
MDC Bellevue, L.L.C. was paid $711.24 by Medicaid between May 2018 and May 2021, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 54% of everything it billed.
33Billing provider infoMDC BELLEVUE, L.L.C.
GREEN BAY, WI 54311
GREEN BAY, WI 54311
33aNPI1396105474assigned 03/02/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$711.24
24GClaims51
24DCodes billed2
24AFirst – last monthMay 2018 – May 2021
Compared with peers
Next to other General Practice Dentistry providers in Wisconsin
Rank by total paid#171 of 208
Median peer was paid$26K
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 | |
|---|---|---|---|
| 2018 | 34 | $447.10 | |
| 2021 | 17 | $264.14 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 54% | 32 | 26 | $385.28 |
| D1110 | Prophylaxis - adult | 46% | 19 | 15 | $325.96 |
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 officialMAUTHE, WILLIAM (OWNER)
| Provider | Location | Paid |
|---|---|---|
| MDC Omro, S.C. | Omro, WI | $570K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.