Dental
Just Kids Dental SC
Just Kids Dental SC was paid $800K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoJUST KIDS DENTAL SC
SHEBOYGAN, WI 53081
SHEBOYGAN, WI 53081
33aNPI1518972389assigned 07/30/2006
33bProvider typePediatric Dentist
28Total paid$800K
24GClaims40,887
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Wisconsin
Rank by total paid#16 of 61
Median peer was paid$85K
This provider vs. median9.4×
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 | 6,045 | $103K | |
| 2019 | 5,772 | $86K | |
| 2020 | 4,808 | $80K | |
| 2021 | 5,998 | $101K | |
| 2022 | 6,722 | $185K | |
| 2023 | 6,369 | $128K | |
| 2024incomplete | 5,173 | $118K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 7,904 | 7,698 | $196K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 8,519 | 8,311 | $150K |
| D1206 | Topical application of fluoride varnish | 17% | 9,278 | 8,990 | $136K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 10% | 1,824 | 1,692 | $80K |
| D0272 | Bitewings - two radiographic images | 6.3% | 3,307 | 3,203 | $51K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.2% | 627 | 273 | $50K |
| D0220 | Intraoral - periapical first radiographic image | 4.9% | 4,185 | 4,021 | $39K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 3,752 | 3,478 | $26K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.1% | 116 | 24 | $25K |
| D1351 | Sealant - per tooth | 1.8% | 703 | 217 | $15K |
| D1110 | Prophylaxis - adult | 1.5% | 441 | 436 | $12K |
| D9420 | 1.4% | 62 | 56 | $12K |
4 more codes
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 52 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 74 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 30 | $1K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 13 | $507.21 |
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 officialMARCHI, JAIME (PRESIDENT)