Dental
Dental 360 Oak Creek LLC
Dental 360 Oak Creek LLC was paid $73K by Medicaid between Apr 2024 and Dec 2024, across 14 billing codes. Its largest line is D0330, Panoramic radiographic image — 26% of everything it billed.
33Billing provider infoDENTAL 360 OAK CREEK LLC
OAK CREEK, WI 53154
OAK CREEK, WI 53154
33aNPI1518676857assigned 11/15/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$73K
24GClaims2,628
24DCodes billed14
24AFirst – last monthApr 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Wisconsin
Rank by total paid#75 of 208
Median peer was paid$26K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2024incomplete | 2,628 | $73K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 26% | 400 | 375 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 412 | 391 | $11K |
| D1351 | Sealant - per tooth | 12% | 415 | 38 | $9K |
| D1110 | Prophylaxis - adult | 10% | 209 | 196 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 5.4% | 421 | 372 | $4K |
| D0140 | Limited oral evaluation - problem focused | 5.3% | 166 | 150 | $4K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.0% | 34 | 15 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 4.8% | 197 | 189 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.7% | 47 | 28 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.4% | 105 | 101 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.1% | 54 | 31 | $3K |
| D1206 | Topical application of fluoride varnish | 1.5% | 72 | 64 | $1K |
2 more codes
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 officialBUENO, IVANA (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Dental 360 Kenosha | Kenosha, WI | $199K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.