Seymour, Copelin

Seymour, Copelin was paid $125K by Medicaid between Jan 2018 and Jan 2021, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 30% of everything it billed.

33Billing provider infoSEYMOUR, COPELIN
MILWAUKEE, WI 53204

33aNPI1861869158assigned 08/21/2015

33bProvider typeDentist

28Total paid$125K

24GClaims4,542

24DCodes billed13

24AFirst – last monthJan 2018 – Jan 2021

Compared with peers

Next to other Dentist providers in Wisconsin

Rank by total paid#60 of 185

Median peer was paid$28K

This provider vs. median4.5×

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	2,195	$66K
2019	1,429	$36K
2020	840	$21K
2021	78	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	30%	753	363	$37K
D0210	Intraoral - complete series of radiographic images	17%	580	562	$22K
D2391	Resin-based composite - one surface, posterior, primary or permanent	14%	471	243	$18K
D0150	Comprehensive oral evaluation - new or established patient	11%	705	681	$14K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	7.3%	621	598	$9K
D1110	Prophylaxis - adult	6.8%	327	314	$9K
D0274	Bitewings - four radiographic images	6.2%	503	486	$8K
D1208	Topical application of fluoride, excluding varnish	3.5%	333	326	$4K
D1120	Dental cleaning, childProphylaxis - child	1.7%	97	97	$2K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	1.0%	20	12	$1K
D0140	Limited oral evaluation - problem focused	<1%	33	33	$589.25
D0220	Intraoral - periapical first radiographic image	<1%	80	77	$557.39

1 more codes

D0230

Intraoral - periapical each additional radiographic image

<1%

$100.26

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.