Clinic
Rock River Community Clinic, INC
Rock River Community Clinic, INC was paid $1.53M by Medicaid between Jan 2018 and Feb 2023, across 30 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.
33Billing provider infoROCK RIVER COMMUNITY CLINIC, INC
FORT ATKINSON, WI 53538
FORT ATKINSON, WI 53538
33aNPI1528244613assigned 01/18/2008
33bProvider typeDental Clinic/Center
28Total paid$1.53M
24GClaims53,858
24DCodes billed30
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Dental Clinic/Center providers in Wisconsin
Rank by total paid#16 of 51
Median peer was paid$1.07M
This provider vs. median1.4×
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 | 12,352 | $356K | |
| 2019 | 13,702 | $391K | |
| 2020 | 8,685 | $245K | |
| 2021 | 9,780 | $252K | |
| 2022 | 9,325 | $281K | |
| 2023 | 14 | $266.85 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 4,091 | 2,829 | $229K |
| D0160 | 8.9% | 2,861 | 2,814 | $136K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 7.6% | 1,754 | 1,417 | $116K |
| D0210 | Intraoral - complete series of radiographic images | 7.4% | 2,663 | 2,620 | $112K |
| D1110 | Prophylaxis - adult | 7.4% | 3,994 | 3,933 | $112K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.6% | 2,301 | 1,633 | $101K |
| D7140 | Extraction, erupted tooth or exposed root | 6.2% | 2,367 | 1,270 | $94K |
| D1351 | Sealant - per tooth | 5.8% | 4,882 | 1,034 | $89K |
| D1208 | Topical application of fluoride, excluding varnish | 4.8% | 5,991 | 5,886 | $74K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.5% | 3,042 | 2,996 | $69K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.8% | 672 | 230 | $57K |
| D0140 | Limited oral evaluation - problem focused | 3.6% | 2,764 | 2,588 | $55K |
18 more codes
| D0274 | Bitewings - four radiographic images | 3.1% | 2,502 | $47K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 1,546 | $32K |
| D2394 | 2.0% | 395 | $31K | |
| D0120 | Dental checkup, returning patient | 1.8% | 1,618 | $28K |
| D1206 | Topical application of fluoride varnish | 1.5% | 1,336 | $23K |
| D0191 | 1.5% | 2,205 | $23K | |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 2,870 | $22K |
| D2331 | <1% | 316 | $15K | |
| D4355 | <1% | 169 | $12K | |
| D2335 | <1% | 125 | $9K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,445 | $8K |
| D0272 | Bitewings - two radiographic images | <1% | 647 | $8K |
| D9110 | <1% | 278 | $7K | |
| D0270 | <1% | 609 | $4K | |
| D2330 | <1% | 113 | $4K | |
| D0330 | Panoramic radiographic image | <1% | 113 | $3K |
| D2332 | <1% | 47 | $3K | |
| D1354 | <1% | 142 | $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 officialMARTINEZ, ABE (MANAGER)