Racine Dental Group S C

Racine Dental Group S C was paid $104K by Medicaid between Jan 2018 and Dec 2021, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 36% of everything it billed.

33Billing provider infoRACINE DENTAL GROUP S C
RACINE, WI 53406

33aNPI1801941570assigned 01/24/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$104K

24GClaims5,008

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2021

Compared with peers

Next to other General Practice Dentistry providers in Wisconsin

Rank by total paid#69 of 208

Median peer was paid$26K

This provider vs. median4.0×

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	1,235	$26K
2019	1,297	$24K
2020	1,022	$22K
2021	1,454	$32K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	36%	2,043	2,002	$37K
D1120	Dental cleaning, childProphylaxis - child	22%	846	816	$23K
D1206	Topical application of fluoride varnish	21%	1,314	1,279	$22K
D1110	Prophylaxis - adult	18%	679	667	$19K
D0150	Comprehensive oral evaluation - new or established patient	1.6%	36	36	$2K
D0274	Bitewings - four radiographic images	1.1%	50	50	$1K
D0272	Bitewings - two radiographic images	<1%	16	16	$272.01
D1208	Topical application of fluoride, excluding varnish	<1%	12	12	$253.69
D0220	Intraoral - periapical first radiographic image	<1%	12	12	$144.10

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 officialO'LAUGHLIN, JANICE (HIPAA OFFICER)