Dental
Madison Pediatric Dental, SC
Madison Pediatric Dental, SC was paid $2.04M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 28% of everything it billed.
33Billing provider infoMADISON PEDIATRIC DENTAL, SC
MADISON, WI 53716
MADISON, WI 53716
33aNPI1538230966assigned 11/09/2006
33bProvider typePediatric Dentist
28Total paid$2.04M
24GClaims49,774
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Wisconsin
Rank by total paid#7 of 61
Median peer was paid$85K
This provider vs. median24×
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 | 11,558 | $440K | |
| 2019 | 13,057 | $560K | |
| 2020 | 6,719 | $247K | |
| 2021 | 6,856 | $256K | |
| 2022 | 4,589 | $199K | |
| 2023 | 4,100 | $190K | |
| 2024incomplete | 2,895 | $153K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 28% | 3,821 | 978 | $576K |
| D8670 | Periodic orthodontic treatment visit | 25% | 4,970 | 4,929 | $505K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.9% | 7,174 | 7,008 | $181K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 7.1% | 3,591 | 3,130 | $146K |
| D1206 | Topical application of fluoride varnish | 6.0% | 8,129 | 7,944 | $122K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.8% | 6,845 | 6,690 | $118K |
| D7140 | Extraction, erupted tooth or exposed root | 5.7% | 1,803 | 823 | $117K |
| D1351 | Sealant - per tooth | 4.2% | 3,988 | 1,300 | $86K |
| D0272 | Bitewings - two radiographic images | 3.8% | 4,645 | 4,543 | $77K |
| D9420 | 3.1% | 354 | 339 | $64K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 657 | 646 | $14K |
| D0240 | <1% | 939 | 543 | $13K |
6 more codes
| D1354 | <1% | 1,831 | $12K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 762 | $8K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 37 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 72 | $895.56 |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | $262.25 |
| D3120 | 0% | 143 | $0.00 |
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 officialWILL, JANET (OFFICE MANAGER)