Congdon, Paul

Congdon, Paul was paid $249K by Medicaid between Jan 2018 and Mar 2020, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 24% of everything it billed.

33Billing provider infoCONGDON, PAUL
HUDSON, WI 54016

33aNPI1457474306assigned 04/07/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$249K

24GClaims10,387

24DCodes billed16

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other General Practice Dentistry providers in Wisconsin

Rank by total paid#51 of 208

Median peer was paid$26K

This provider vs. median9.6×

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	5,482	$138K
2019	4,105	$93K
2020	800	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	24%	1,157	475	$59K
D2391	Resin-based composite - one surface, posterior, primary or permanent	11%	725	295	$29K
D1110	Prophylaxis - adult	11%	1,060	1,018	$26K
D0274	Bitewings - four radiographic images	9.1%	1,396	1,343	$23K
D1208	Topical application of fluoride, excluding varnish	7.8%	1,629	1,570	$19K
D0150	Comprehensive oral evaluation - new or established patient	7.2%	934	894	$18K
D0330	Panoramic radiographic image	7.2%	492	464	$18K
D1120	Dental cleaning, childProphylaxis - child	6.0%	754	722	$15K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	5.8%	1,076	1,037	$14K
D0210	Intraoral - complete series of radiographic images	4.0%	242	236	$10K
D0140	Limited oral evaluation - problem focused	3.6%	507	480	$9K
D4355		1.8%	69	66	$5K

4 more codes

D0220	Intraoral - periapical first radiographic image	<1%	208	$1K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	<1%	22	$1K
D0272	Bitewings - two radiographic images	<1%	83	$1K
D7140	Extraction, erupted tooth or exposed root	<1%	33	$1K

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.