Clinic
Children's Dental Center S.C.
Children's Dental Center S.C. was paid $219K by Medicaid between Jan 2018 and Mar 2021, across 14 billing codes. Its largest line is D0120, dental checkup, returning patient — 17% of everything it billed.
33Billing provider infoCHILDREN'S DENTAL CENTER S.C.
OSHKOSH, WI 54902
OSHKOSH, WI 54902
33aNPI1730339367assigned 09/18/2008
33bProvider typeDental Clinic/Center
28Total paid$219K
24GClaims12,182
24DCodes billed14
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers
Next to other Dental Clinic/Center providers in Wisconsin
Rank by total paid#37 of 51
Median peer was paid$1.07M
This provider vs. median0.2×
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 | 4,118 | $71K | |
| 2019 | 4,183 | $77K | |
| 2020 | 3,108 | $57K | |
| 2021 | 773 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 2,840 | 2,788 | $38K |
| D1206 | Topical application of fluoride varnish | 17% | 3,120 | 3,072 | $36K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 1,723 | 1,701 | $36K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 16% | 1,147 | 1,113 | $35K |
| D1110 | Prophylaxis - adult | 13% | 1,201 | 1,177 | $29K |
| D0272 | Bitewings - two radiographic images | 7.6% | 1,399 | 1,376 | $17K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.6% | 377 | 253 | $14K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.9% | 78 | 49 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 143 | 140 | $3K |
| D7111 | <1% | 50 | 27 | $2K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 19 | 17 | $848.30 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 19 | 13 | $690.82 |
2 more codes
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 officialBAKER, PHILLIP (PRESIDENT)