Clinic
Pediatric Oral Surgery and General Dental INC SC
Pediatric Oral Surgery and General Dental INC SC was paid $3K by Medicaid between Dec 2024 and Dec 2024, across 7 billing codes. Its largest line is D9230, Inhalation of nitrous oxide / analgesia, anxiolysis — 33% of everything it billed.
33Billing provider infoPEDIATRIC ORAL SURGERY AND GENERAL DENTAL INC SC
MILWAUKEE, WI 53225
MILWAUKEE, WI 53225
33aNPI1518727932assigned 03/21/2024
33bProvider typeDental Clinic/Center
28Total paid$3K
24GClaims114
24DCodes billed7
24AFirst – last monthDec 2024 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Wisconsin
Rank by total paid#49 of 51
Median peer was paid$1.07M
This provider vs. median0.0×
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 | 114 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 33% | 17 | 15 | $961.52 |
| D0210 | Intraoral - complete series of radiographic images | 29% | 15 | 15 | $841.90 |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 13 | 13 | $341.71 |
| D1206 | Topical application of fluoride varnish | 11% | 22 | 21 | $310.75 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.3% | 15 | 15 | $244.14 |
| D0220 | Intraoral - periapical first radiographic image | 4.8% | 16 | 15 | $141.97 |
| D0230 | Intraoral - periapical each additional radiographic image | 3.8% | 16 | 15 | $111.44 |
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 officialSAJAN, MURTAZA (CEO)