Lake Area Free Clinic

Lake Area Free Clinic was paid $337K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is D1110, Prophylaxis - adult — 21% of everything it billed.

33Billing provider infoLAKE AREA FREE CLINIC
OCONOMOWOC, WI 50366

33aNPI1508391079assigned 04/21/2017

33bProvider typeVoluntary or Charitable Agency

28Total paid$337K

24GClaims12,883

24DCodes billed18

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Voluntary or Charitable Agency providers in Wisconsin

Rank by total paid#6 of 13

Median peer was paid$319K

This provider vs. median1.1×

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	443	$13K
2019	760	$18K
2020	1,307	$22K
2021	2,295	$48K
2022	1,893	$60K
2023	3,566	$101K
2024incomplete	2,619	$76K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	21%	2,640	2,487	$72K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	19%	1,124	730	$66K
D0210	Intraoral - complete series of radiographic images	14%	1,098	1,009	$49K
D1206	Topical application of fluoride varnish	8.0%	2,167	2,014	$27K
D2391	Resin-based composite - one surface, posterior, primary or permanent	6.4%	450	273	$22K
D0150	Comprehensive oral evaluation - new or established patient	6.1%	969	896	$21K
D7140	Extraction, erupted tooth or exposed root	5.4%	402	167	$18K
D0140	Limited oral evaluation - problem focused	4.7%	841	767	$16K
D0274	Bitewings - four radiographic images	4.6%	774	744	$15K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	3.8%	824	781	$13K
D0220	Intraoral - periapical first radiographic image	2.8%	1,179	1,077	$10K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	1.1%	44	37	$4K

6 more codes

D2331		<1%	40	$2K
D1208	Topical application of fluoride, excluding varnish	<1%	182	$2K
D0160		<1%	30	$1K
D0330	Panoramic radiographic image	<1%	14	$590.03
D0230	Intraoral - periapical each additional radiographic image	<1%	78	$358.25
D1330		0%	27	$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 officialREICH, MARY (EXECUTIVE DIRECTOR)