Dental
Primary Connection Health Care, INC.
Primary Connection Health Care, INC. was paid $11.48M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoPRIMARY CONNECTION HEALTH CARE, INC.
WAUSAU, WI 54403
WAUSAU, WI 54403
33aNPI1457370744assigned 07/18/2006
33bProvider typeDentist
28Total paid$11.48M
24GClaims146,787
24DCodes billed63
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Wisconsin
Rank by total paid#2 of 185
Median peer was paid$28K
This provider vs. median409×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SMITH, JENNIFER controls 18+ related entities in our dataset. Read more
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 | 30,777 | $2.26M | |
| 2019 | 34,209 | $2.82M | |
| 2020 | 17,578 | $1.56M | |
| 2021 | 18,961 | $1.51M | |
| 2022 | 14,612 | $1.01M | |
| 2023 | 14,228 | $1.09M | |
| 2024incomplete | 16,422 | $1.25M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 95% | 46,663 | 37,264 | $10.89M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 4,874 | 4,000 | $126K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 2,274 | 964 | $93K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 2,836 | 1,086 | $84K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 2,403 | 1,658 | $61K |
| D1110 | Prophylaxis - adult | <1% | 15,069 | 13,805 | $29K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 5,347 | 4,850 | $21K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 4,086 | 2,210 | $15K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 151 | 136 | $14K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 1,315 | 1,114 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 9,813 | 8,955 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,612 | 1,182 | $10K |
51 more codes
| 90686 | <1% | 680 | $8K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 3,976 | $8K |
| 90739 | <1% | 160 | $8K | |
| D1206 | Topical application of fluoride varnish | <1% | 10,731 | $8K |
| D1120 | Dental cleaning, child | <1% | 3,030 | $8K |
| 80061 | Lipid panel | <1% | 845 | $8K |
| 99000 | <1% | 3,005 | $7K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,427 | $7K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 1,120 | $6K |
| D0140 | Limited oral evaluation - problem focused | <1% | 4,941 | $6K |
| D0274 | Bitewings - four radiographic images | <1% | 5,188 | $6K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 170 | $4K |
| 80053 | Comprehensive metabolic panel | <1% | 636 | $4K |
| 90715 | <1% | 137 | $4K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 677 | $4K |
| 96127 | <1% | 605 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 106 | $3K |
| D2140 | <1% | 630 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 57 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,298 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 41 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 294 | $1K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 171 | $1K |
| D4355 | <1% | 31 | $963.59 | |
| 90716 | <1% | 17 | $850.74 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $694.42 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 41 | $659.65 |
| D1351 | Sealant - per tooth | <1% | 391 | $597.60 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 174 | $583.83 |
| 99442 | <1% | 38 | $530.28 | |
| D9110 | <1% | 115 | $338.24 | |
| 90713 | <1% | 27 | $292.98 | |
| 90656 | <1% | 76 | $249.59 | |
| 80305 | <1% | 30 | $243.31 | |
| 90633 | <1% | 15 | $225.90 | |
| D0272 | Bitewings - two radiographic images | <1% | 60 | $211.46 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,247 | $199.39 |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,042 | $186.26 |
| 85027 | <1% | 31 | $164.54 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 23 | $116.85 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 465 | $27.78 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 85 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 52 | $0.00 |
| D9910 | 0% | 71 | $0.00 | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 0% | 27 | $0.00 |
| D0170 | 0% | 66 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 105 | $0.00 |
| D5899 | 0% | 22 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 101 | $0.00 |
| D3120 | 0% | 36 | $0.00 | |
| D2331 | 0% | 18 | $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 officialSMITH, JENNIFER (EXECUTIVE DIRECTOR)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.