Children's Dental Health Center, S.C.

Children's Dental Health Center, S.C. was paid $26K by Medicaid between Jan 2018 and May 2019, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 31% of everything it billed.

33Billing provider infoCHILDREN'S DENTAL HEALTH CENTER, S.C.
APPLETON, WI 54915

33aNPI1710968086assigned 11/14/2005

33bProvider typePediatric Dentist

28Total paid$26K

24GClaims1,831

24DCodes billed5

24AFirst – last monthJan 2018 – May 2019

Compared with peers

Next to other Pediatric Dentist providers in Wisconsin

Rank by total paid#41 of 61

Median peer was paid$85K

This provider vs. median0.3×

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	1,404	$24K
2019	427	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	31%	716	673	$8K
D1110	Prophylaxis - adult	31%	391	363	$8K
D1120	Dental cleaning, childProphylaxis - child	17%	266	251	$4K
D1206	Topical application of fluoride varnish	11%	246	240	$3K
D0272	Bitewings - two radiographic images	9.9%	212	210	$3K

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 officialSTEINMETZ, MARK (PRESIDENT)