Clinic
Kenosha Community Health Center, INC
Kenosha Community Health Center, INC was paid $600K by Medicaid between Nov 2019 and Dec 2024, across 26 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 81% of everything it billed.
33Billing provider infoKENOSHA COMMUNITY HEALTH CENTER, INC
SILVER LAKE, WI 53170
SILVER LAKE, WI 53170
33aNPI1568931541assigned 11/19/2018
33bProvider typeDental Clinic/Center
28Total paid$600K
24GClaims17,612
24DCodes billed26
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Wisconsin
Rank by total paid#29 of 51
Median peer was paid$1.07M
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2019 | 47 | $10K | |
| 2020 | 203 | $18K | |
| 2021 | 479 | $36K | |
| 2022 | 2,568 | $120K | |
| 2023 | 7,374 | $210K | |
| 2024incomplete | 6,941 | $206K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 81% | 2,772 | 1,701 | $489K |
| D1110 | Prophylaxis - adult | 2.5% | 791 | 757 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.4% | 315 | 257 | $14K |
| D0274 | Bitewings - four radiographic images | 1.9% | 902 | 850 | $11K |
| D1206 | Topical application of fluoride varnish | 1.5% | 951 | 904 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 1,629 | 1,506 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.4% | 862 | 810 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 3,714 | 1,170 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 524 | 482 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 177 | 138 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 297 | 287 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 357 | 328 | $4K |
14 more codes
| 90834 | Psychotherapy session, about 45 minutes | <1% | 167 | $4K |
| D0330 | Panoramic radiographic image | <1% | 235 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 65 | $3K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 129 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 50 | $434.29 |
| 3008F | 0% | 438 | $0.00 | |
| D1330 | 0% | 1,516 | $0.00 | |
| D0603 | 0% | 386 | $0.00 | |
| 1170F | 0% | 21 | $0.00 | |
| D0602 | 0% | 55 | $0.00 | |
| 3074F | 0% | 100 | $0.00 | |
| 1159F | 0% | 541 | $0.00 | |
| 1160F | 0% | 541 | $0.00 | |
| 3078F | 0% | 77 | $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 officialCOLLINS, DORIAN (CREDENTALING SPECIALIST)