Pilgrim, Tony

Pilgrim, Tony was paid $15K by Medicaid between Jan 2022 and Nov 2023, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 33% of everything it billed.

33Billing provider infoPILGRIM, TONY
FALL CREEK, WI 54742

33aNPI1861545055assigned 01/19/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$15K

24GClaims720

24DCodes billed6

24AFirst – last monthJan 2022 – Nov 2023

Compared with peers

Next to other General Practice Dentistry providers in Wisconsin

Rank by total paid#113 of 208

Median peer was paid$26K

This provider vs. median0.6×

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
2022	433	$9K
2023	287	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	33%	264	240	$5K
D1110	Prophylaxis - adult	30%	135	124	$5K
D1206	Topical application of fluoride varnish	19%	177	163	$3K
D1120	Dental cleaning, childProphylaxis - child	8.6%	53	44	$1K
D0274	Bitewings - four radiographic images	6.5%	44	42	$986.54
D1354		3.0%	47	17	$458.06

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.