Dental
Appleton Family Dentistry SC
Appleton Family Dentistry SC was paid $2K by Medicaid between Jan 2018 and Oct 2020, across 1 billing code. Its largest line is D1110, Prophylaxis - adult — 100% of everything it billed.
33Billing provider infoAPPLETON FAMILY DENTISTRY SC
APPLETON, WI 54914
APPLETON, WI 54914
33aNPI1447325527assigned 11/22/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$2K
24GClaims75
24DCodes billed1
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers
Next to other General Practice Dentistry providers in Wisconsin
Rank by total paid#154 of 208
Median peer was paid$26K
This provider vs. median0.1×
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 | 38 | $950.96 | |
| 2019 | 25 | $625.00 | |
| 2020 | 12 | $328.05 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 100% | 75 | 75 | $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 officialGOSSE, RICHARD (PARTNER DENTIST)