Medford Dental Clinic SC

Medford Dental Clinic SC was paid $1K by Medicaid between Feb 2018 and Jul 2019, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 47% of everything it billed.

33Billing provider infoMEDFORD DENTAL CLINIC SC
MEDFORD, WI 54451

33aNPI1548325699assigned 12/27/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$1K

24GClaims78

24DCodes billed3

24AFirst – last monthFeb 2018 – Jul 2019

Compared with peers

Next to other General Practice Dentistry providers in Wisconsin

Rank by total paid#158 of 208

Median peer was paid$26K

This provider vs. median0.1×

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	65	$1K
2019	13	$322.73

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	47%	26	25	$661.70
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	33%	39	39	$458.08
D1120	Dental cleaning, childProphylaxis - child	20%	13	13	$275.66

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 officialMISKULIN, BETTY (SECRETARY)