Dental
Idental LLC
Idental LLC was paid $11.73M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 20% of everything it billed.
33Billing provider infoIDENTAL LLC
MT PLEASANT, WI 53406
MT PLEASANT, WI 53406
33aNPI1861867947assigned 12/01/2015
33bProvider typeDentist
28Total paid$11.73M
24GClaims272,713
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Wisconsin
Rank by total paid#1 of 185
Median peer was paid$28K
This provider vs. median418×
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 | 29,929 | $1.04M | |
| 2019 | 29,465 | $1.07M | |
| 2020 | 26,215 | $829K | |
| 2021 | 32,866 | $1.22M | |
| 2022 | 41,234 | $1.75M | |
| 2023 | 56,479 | $2.93M | |
| 2024incomplete | 56,525 | $2.88M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 20% | 17,882 | 16,387 | $2.38M |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 8.9% | 944 | 855 | $1.04M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.8% | 9,975 | 6,561 | $794K |
| D0330 | Panoramic radiographic image | 6.4% | 14,275 | 13,012 | $749K |
| D0140 | Limited oral evaluation - problem focused | 4.9% | 17,679 | 16,088 | $574K |
| D7140 | Extraction, erupted tooth or exposed root | 4.9% | 7,066 | 3,528 | $569K |
| D1110 | Prophylaxis - adult | 4.6% | 14,920 | 14,054 | $542K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 7,570 | 4,630 | $464K |
| D1351 | Sealant - per tooth | 3.9% | 15,874 | 2,497 | $461K |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 30,024 | 27,428 | $404K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 13,262 | 12,046 | $378K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.0% | 15,088 | 14,325 | $349K |
33 more codes
| D0274 | Bitewings - four radiographic images | 2.9% | 14,271 | $345K |
| D1120 | Dental cleaning, child | 2.8% | 10,063 | $329K |
| D1208 | Topical application of fluoride, excluding varnish | 2.6% | 17,598 | $308K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 27,996 | $297K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.1% | 2,793 | $241K |
| D0470 | 1.9% | 4,191 | $224K | |
| D0340 | 1.8% | 5,439 | $215K | |
| D0350 | 1.6% | 5,617 | $182K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.4% | 1,142 | $160K |
| D0210 | Intraoral - complete series of radiographic images | 1.3% | 4,428 | $155K |
| D8680 | <1% | 516 | $111K | |
| D1206 | Topical application of fluoride varnish | <1% | 4,489 | $91K |
| D9110 | <1% | 1,212 | $61K | |
| D2394 | <1% | 660 | $55K | |
| D8660 | <1% | 540 | $44K | |
| D4355 | <1% | 677 | $44K | |
| D0272 | Bitewings - two radiographic images | <1% | 1,522 | $34K |
| D2335 | <1% | 494 | $33K | |
| D5110 | <1% | 56 | $19K | |
| D2940 | <1% | 485 | $16K | |
| D2331 | <1% | 304 | $15K | |
| D2332 | <1% | 252 | $13K | |
| D2330 | <1% | 196 | $8K | |
| D7230 | <1% | 25 | $6K | |
| D5120 | <1% | 18 | $6K | |
| D0191 | <1% | 668 | $4K | |
| D5212 | <1% | 14 | $3K | |
| D4341 | <1% | 26 | $2K | |
| D9610 | <1% | 64 | $1K | |
| D0270 | <1% | 80 | $898.20 | |
| D0170 | <1% | 57 | $777.13 | |
| D1999 | 0% | 2,249 | $0.00 | |
| D0180 | 0% | 12 | $0.00 |
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 officialVASUDEVA, VIVEK (CO-CEO)