Managed care
Dentaquest, LLC
Dentaquest, LLC was paid $1.10M by Medicaid between Jan 2018 and Sep 2024, across 41 billing codes. Its largest line is D1110, Prophylaxis - adult — 19% of everything it billed.
33Billing provider infoDENTAQUEST, LLC
MEQUON, WI 53092
MEQUON, WI 53092
33aNPI1891958930assigned 07/09/2008
33bProvider typeHealth Maintenance Organization
28Total paid$1.10M
24GClaims45,048
24DCodes billed41
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Health Maintenance Organization providers in Wisconsin
Rank by total paid#4 of 10
Median peer was paid$270K
This provider vs. median4.1×
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 | 2,838 | $77K | |
| 2019 | 2,804 | $89K | |
| 2020 | 4,414 | $126K | |
| 2021 | 5,405 | $164K | |
| 2022 | 13,615 | $486K | |
| 2023 | 8,927 | $160K | |
| 2024incomplete | 7,045 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 19% | 5,919 | 5,861 | $207K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 7,119 | 7,072 | $111K |
| D1208 | Topical application of fluoride, excluding varnish | 8.4% | 4,940 | 4,908 | $93K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.9% | 2,890 | 2,876 | $88K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 7.5% | 1,695 | 268 | $83K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.4% | 2,791 | 2,732 | $71K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.4% | 1,145 | 606 | $71K |
| D0274 | Bitewings - four radiographic images | 5.9% | 3,262 | 3,229 | $65K |
| D0210 | Intraoral - complete series of radiographic images | 4.2% | 1,387 | 1,201 | $46K |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 4,122 | 3,851 | $36K |
| D1206 | Topical application of fluoride varnish | 2.5% | 1,535 | 1,527 | $27K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.4% | 3,036 | 2,148 | $27K |
29 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.4% | 352 | $27K |
| D9920 | 2.0% | 309 | $22K | |
| D0140 | Limited oral evaluation - problem focused | 1.8% | 981 | $19K |
| D0330 | Panoramic radiographic image | 1.5% | 379 | $16K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.2% | 214 | $14K |
| D0272 | Bitewings - two radiographic images | 1.1% | 637 | $12K |
| D9222 | 1.1% | 270 | $12K | |
| D2750 | <1% | 17 | $11K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 138 | $10K |
| D9612 | <1% | 282 | $8K | |
| D1351 | Sealant - per tooth | <1% | 227 | $7K |
| D9630 | <1% | 250 | $4K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 25 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 121 | $4K |
| D1354 | <1% | 181 | $2K | |
| D3120 | <1% | 78 | $1K | |
| D9310 | <1% | 79 | $998.28 | |
| S0504 | Single vision prescription lens (safety, athletic, or sunglass), per lens | <1% | 67 | $945.00 |
| D9110 | <1% | 18 | $871.74 | |
| S0516 | Safety eyeglass frames | <1% | 67 | $569.50 |
| D9994 | <1% | 74 | $519.92 | |
| D0190 | 0% | 12 | $0.00 | |
| D4910 | 0% | 67 | $0.00 | |
| D2950 | 0% | 114 | $0.00 | |
| D2394 | 0% | 25 | $0.00 | |
| D2740 | Crown - porcelain/ceramic | 0% | 113 | $0.00 |
| D9219 | 0% | 67 | $0.00 | |
| D8670 | Periodic orthodontic treatment visit | 0% | 13 | $0.00 |
| D4342 | 0% | 30 | $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 officialFRITZ, CARRIE (MANAGER, PROVIDER NETWORKS)