West Bend Dental Center SC

West Bend Dental Center SC was paid $45K by Medicaid between Jan 2018 and Jul 2019, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.

33Billing provider infoWEST BEND DENTAL CENTER SC
WEST BEND, WI 53095

33aNPI1427201599assigned 11/03/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$45K

24GClaims997

24DCodes billed8

24AFirst – last monthJan 2018 – Jul 2019

Compared with peers

Next to other General Practice Dentistry providers in Wisconsin

Rank by total paid#91 of 208

Median peer was paid$26K

This provider vs. median1.7×

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	733	$34K
2019	264	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	33%	263	248	$15K
D1208	Topical application of fluoride, excluding varnish	20%	275	253	$9K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	16%	190	186	$7K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	14%	88	65	$6K
D0150	Comprehensive oral evaluation - new or established patient	5.1%	45	42	$2K
D0272	Bitewings - two radiographic images	4.9%	69	66	$2K
D1110	Prophylaxis - adult	3.6%	30	24	$2K
D1351	Sealant - per tooth	3.4%	37	12	$2K

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 officialSALZER, CATHERINE (BUSINESS MANAGER)