Dental Clinic of Marshfield SC

Dental Clinic of Marshfield SC was paid $145K by Medicaid between Jan 2018 and Dec 2019, across 17 billing codes. Its largest line is D0120, dental checkup, returning patient — 34% of everything it billed.

33Billing provider infoDENTAL CLINIC OF MARSHFIELD SC
MARSHFIELD, WI 54449

33aNPI1699724815assigned 05/06/2006

33bProvider typeDentist

28Total paid$145K

24GClaims8,990

24DCodes billed17

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Dentist providers in Wisconsin

Rank by total paid#54 of 185

Median peer was paid$28K

This provider vs. median5.2×

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	5,700	$96K
2019	3,290	$48K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	34%	4,034	4,009	$49K
D1110	Prophylaxis - adult	22%	1,442	1,435	$32K
D1120	Dental cleaning, childProphylaxis - child	16%	1,344	1,332	$24K
D2930	Prefabricated stainless steel crown - primary tooth	8.5%	123	39	$12K
D1206	Topical application of fluoride varnish	6.8%	942	939	$10K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	3.1%	161	135	$4K
D1351	Sealant - per tooth	2.4%	230	70	$3K
D1208	Topical application of fluoride, excluding varnish	1.7%	249	249	$2K
D0272	Bitewings - two radiographic images	1.3%	178	177	$2K
D0150	Comprehensive oral evaluation - new or established patient	<1%	80	80	$1K
D7140	Extraction, erupted tooth or exposed root	<1%	24	15	$964.79
D0240		<1%	73	43	$709.65

5 more codes

D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	18	$562.31
D0210	Intraoral - complete series of radiographic images	<1%	12	$541.28
D0274	Bitewings - four radiographic images	<1%	39	$506.70
D0140	Limited oral evaluation - problem focused	<1%	27	$403.24
D0220	Intraoral - periapical first radiographic image	<1%	14	$122.92

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 officialCOEN, TIMOTHY (PRESIDENT)