Clinic
Diamond Dental LLC
Diamond Dental LLC was paid $28K by Medicaid between Sep 2024 and Dec 2024, across 11 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 28% of everything it billed.
33Billing provider infoDIAMOND DENTAL LLC
WEST ALLIS, WI 53214
WEST ALLIS, WI 53214
33aNPI1558121590assigned 03/19/2024
33bProvider typeDental Clinic/Center
28Total paid$28K
24GClaims794
24DCodes billed11
24AFirst – last monthSep 2024 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Wisconsin
Rank by total paid#44 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 | 794 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 28% | 132 | 130 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 139 | 138 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | 12% | 65 | 35 | $3K |
| D1110 | Prophylaxis - adult | 11% | 83 | 82 | $3K |
| D1351 | Sealant - per tooth | 9.3% | 100 | 13 | $3K |
| D0140 | Limited oral evaluation - problem focused | 8.0% | 83 | 81 | $2K |
| D0330 | Panoramic radiographic image | 8.0% | 48 | 48 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 4.8% | 72 | 71 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.3% | 27 | 27 | $916.53 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 29 | 29 | $277.53 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 16 | 14 | $99.73 |
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 officialSIMPER, CAMILLE (MANAGER)