Dental
Dejarlais, Daniel
Dejarlais, Daniel was paid $999K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoDEJARLAIS, DANIEL
MADISON, WI 53717
MADISON, WI 53717
33aNPI1669573895assigned 09/26/2006
33bProvider typePediatric Dentist
28Total paid$999K
24GClaims40,246
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Wisconsin
Rank by total paid#13 of 61
Median peer was paid$85K
This provider vs. median12×
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 | 5,462 | $121K | |
| 2019 | 5,566 | $111K | |
| 2020 | 4,212 | $85K | |
| 2021 | 5,950 | $128K | |
| 2022 | 6,466 | $188K | |
| 2023 | 6,761 | $195K | |
| 2024incomplete | 5,829 | $171K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 6,421 | 6,336 | $166K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 8,825 | 8,700 | $163K |
| D1206 | Topical application of fluoride varnish | 14% | 9,444 | 9,281 | $144K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 11% | 2,391 | 2,312 | $112K |
| D1110 | Prophylaxis - adult | 9.8% | 2,956 | 2,921 | $98K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.3% | 1,130 | 776 | $93K |
| D0272 | Bitewings - two radiographic images | 6.6% | 4,070 | 4,002 | $66K |
| D1351 | Sealant - per tooth | 4.2% | 1,890 | 569 | $42K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.1% | 705 | 571 | $41K |
| D0210 | Intraoral - complete series of radiographic images | 2.6% | 485 | 479 | $26K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 775 | 752 | $19K |
| D0240 | 1.1% | 734 | 443 | $11K |
5 more codes
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 47 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 100 | $7K |
| D0274 | Bitewings - four radiographic images | <1% | 157 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 104 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | $238.46 |
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.