Dental
Children's Medical Group
Children's Medical Group was paid $3.00M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoCHILDREN'S MEDICAL GROUP
MILWAUKEE, WI 53216
MILWAUKEE, WI 53216
33aNPI1881953776assigned 05/11/2012
33bProvider typeDentist
28Total paid$3.00M
24GClaims143,735
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Wisconsin
Rank by total paid#8 of 185
Median peer was paid$28K
This provider vs. median107×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official KHARE, SMRITI controls 20+ related entities in our dataset. Read more
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 | 22,358 | $427K | |
| 2019 | 25,474 | $473K | |
| 2020 | 15,824 | $269K | |
| 2021 | 18,696 | $321K | |
| 2022 | 21,997 | $507K | |
| 2023 | 20,309 | $489K | |
| 2024incomplete | 19,077 | $516K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 23,751 | 22,113 | $557K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 23,564 | 22,011 | $403K |
| D1206 | Topical application of fluoride varnish | 13% | 29,419 | 27,025 | $382K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 10% | 3,589 | 2,125 | $313K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 9.5% | 7,641 | 6,752 | $286K |
| D0272 | Bitewings - two radiographic images | 7.6% | 16,909 | 15,680 | $230K |
| D1351 | Sealant - per tooth | 6.8% | 11,767 | 3,835 | $205K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 2,291 | 1,625 | $106K |
| D7140 | Extraction, erupted tooth or exposed root | 2.8% | 2,021 | 1,343 | $86K |
| D0330 | Panoramic radiographic image | 2.6% | 1,816 | 1,725 | $78K |
| D1110 | Prophylaxis - adult | 2.3% | 2,057 | 1,958 | $69K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 3,424 | 3,099 | $69K |
9 more codes
| D0240 | 2.3% | 6,446 | $68K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.0% | 1,118 | $60K |
| D0274 | Bitewings - four radiographic images | 1.5% | 2,147 | $44K |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 3,794 | $31K |
| D1354 | <1% | 1,381 | $10K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 190 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 287 | $2K |
| D0191 | <1% | 108 | $1K | |
| D9920 | 0% | 15 | $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 officialKHARE, SMRITI (PRESIDENT - CHILDREN'S MEDICAL GROU)
Parent organizationCHILDREN'S HOSPITAL AND HEALTH SYSTEM
| Provider | Location | Paid |
|---|---|---|
| Children's Medical Group | Milwaukee, WI | $4.58M |
| Children's Medical Group | Glendale, WI | $3.64M |
| Children's Medical Group | Milwaukee, WI | $3.11M |
| Children's Medical Group | Kenosha, WI | $2.65M |
| Children's Medical Group | Wauwatosa, WI | $2.13M |
| Children's Medical Group | Kenosha, WI | $1.46M |
| Children's Medical Group | Oak Creek, WI | $1.26M |
| Children's Medical Group | Milwaukee, WI | $1.19M |
| Children's Medical Group | Milwaukee, WI | $915K |
| Children's Medical Group | New Berlin, WI | $674K |
| Children's Medical Group | Fox Point, WI | $642K |
| Children's Medical Group | Franklin, WI | $557K |
| Children's Medical Group | Brookfield, WI | $399K |
| Children's Medical Group | Brookfield, WI | $327K |
| Children's Medical Group | New Berlin, WI | $284K |
| Children's Medical Group | Mequon, WI | $233K |
| Children's Medical Group, INC. | Delafield, WI | $187K |
| Children's Medical Group | West Bend, WI | $167K |
| Children's Medical Group | Mount Pleasant, WI | $142K |
| Children's Medical Group | Milwaukee, WI | $141K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.