Managed care
Ultimate Dental Care
Ultimate Dental Care was paid $754K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 18% of everything it billed.
33Billing provider infoULTIMATE DENTAL CARE
RACINE, WI 53406
RACINE, WI 53406
33aNPI1679941447assigned 09/09/2015
33bProvider typeHealth Maintenance Organization
28Total paid$754K
24GClaims20,343
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Health Maintenance Organization providers in Wisconsin
Rank by total paid#5 of 10
Median peer was paid$270K
This provider vs. median2.8×
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 | 5,979 | $211K | |
| 2019 | 3,715 | $109K | |
| 2022 | 594 | $22K | |
| 2023 | 5,133 | $222K | |
| 2024incomplete | 4,922 | $190K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 18% | 2,684 | 2,547 | $137K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 1,598 | 855 | $115K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 14% | 1,094 | 471 | $106K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.6% | 2,784 | 2,654 | $72K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.6% | 1,088 | 589 | $65K |
| D0274 | Bitewings - four radiographic images | 4.8% | 1,614 | 1,531 | $36K |
| D1208 | Topical application of fluoride, excluding varnish | 4.7% | 2,370 | 2,256 | $35K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.4% | 1,152 | 1,101 | $33K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.3% | 1,822 | 1,717 | $33K |
| D1110 | Prophylaxis - adult | 3.8% | 858 | 815 | $29K |
| D0140 | Limited oral evaluation - problem focused | 3.1% | 991 | 944 | $24K |
| D4355 | 2.9% | 319 | 296 | $22K |
9 more codes
| D4346 | 1.8% | 160 | $14K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.6% | 142 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 830 | $8K |
| D0330 | Panoramic radiographic image | <1% | 139 | $6K |
| D1206 | Topical application of fluoride varnish | <1% | 398 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 190 | $1K |
| D0270 | <1% | 58 | $467.71 | |
| D0170 | <1% | 27 | $449.10 | |
| D0272 | Bitewings - two radiographic images | <1% | 25 | $445.40 |
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 officialELCHEKHA, HOUSSAM (OWNER)