Clinic
Nobel Dental LLC
Nobel Dental LLC was paid $1.07M by Medicaid between Sep 2022 and Dec 2024, across 19 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 23% of everything it billed.
33Billing provider infoNOBEL DENTAL LLC
WEST ALLIS, WI 53219
WEST ALLIS, WI 53219
33aNPI1639814551assigned 05/04/2022
33bProvider typeDental Clinic/Center
28Total paid$1.07M
24GClaims25,668
24DCodes billed19
24AFirst – last monthSep 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Wisconsin
Rank by total paid#25 of 51
Median peer was paid$1.07M
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2022 | 1,928 | $90K | |
| 2023 | 7,704 | $368K | |
| 2024incomplete | 16,036 | $617K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 23% | 2,275 | 871 | $246K |
| D0210 | Intraoral - complete series of radiographic images | 19% | 3,601 | 3,499 | $202K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 4,142 | 4,051 | $113K |
| D1351 | Sealant - per tooth | 9.5% | 4,189 | 497 | $102K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.2% | 1,214 | 602 | $88K |
| D1110 | Prophylaxis - adult | 7.3% | 2,071 | 2,031 | $78K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.9% | 724 | 382 | $63K |
| D1208 | Topical application of fluoride, excluding varnish | 4.1% | 2,406 | 2,364 | $44K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.8% | 986 | 966 | $30K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 297 | 146 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.5% | 785 | 763 | $17K |
| D0274 | Bitewings - four radiographic images | 1.5% | 701 | 692 | $16K |
7 more codes
| D4341 | 1.3% | 176 | $14K | |
| D0330 | Panoramic radiographic image | 1.2% | 269 | $13K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 170 | $9K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 734 | $7K |
| D0140 | Limited oral evaluation - problem focused | <1% | 238 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 651 | $5K |
| D2335 | <1% | 39 | $4K |
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 officialPATEL, PRATIK (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Harrolds Pharmacy INC | Wilkes Barre, PA | $1.06M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.