Dental
New Richmond Kidds Pediatric Dentistry LLC
New Richmond Kidds Pediatric Dentistry LLC was paid $407K by Medicaid between Sep 2020 and Dec 2024, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.
33Billing provider infoNEW RICHMOND KIDDS PEDIATRIC DENTISTRY LLC
NEW RICHMOND, WI 54017
NEW RICHMOND, WI 54017
33aNPI1508478454assigned 08/21/2020
33bProvider typePediatric Dentist
28Total paid$407K
24GClaims17,283
24DCodes billed11
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Wisconsin
Rank by total paid#20 of 61
Median peer was paid$85K
This provider vs. median4.8×
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 | |
|---|---|---|---|
| 2020 | 94 | $0.00 | |
| 2021 | 1,503 | $27K | |
| 2022 | 4,442 | $108K | |
| 2023 | 5,903 | $143K | |
| 2024incomplete | 5,341 | $130K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 33% | 4,795 | 4,654 | $136K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 3,998 | 3,871 | $84K |
| D1206 | Topical application of fluoride varnish | 18% | 4,481 | 4,354 | $75K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.9% | 358 | 209 | $28K |
| D0272 | Bitewings - two radiographic images | 6.6% | 1,496 | 1,444 | $27K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.5% | 692 | 603 | $27K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 431 | 422 | $12K |
| D0330 | Panoramic radiographic image | 2.4% | 180 | 179 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 531 | 519 | $6K |
| D1351 | Sealant - per tooth | <1% | 120 | 41 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 201 | 117 | $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.
From NPPES
Who's on the registration
Authorized officialRINDELAUB, DARCY (DDS)
| Provider | Location | Paid |
|---|---|---|
| ST. Croix Kidds Pediatric Dentistry | White Bear Lake, MN | $122K |
| Riverdale Pediatric Dentistry P.A. | Coon Rapids, MN | $16K |
| Blaine Kidds Pediatric Dentistry PLLC | Blaine, MN | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.