201 Water Front Dental LLC

201 Water Front Dental LLC was paid $38K by Medicaid between Jan 2018 and Jul 2019, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 45% of everything it billed.

33Billing provider info201 WATER FRONT DENTAL LLC
FORT ATKINSON, WI 53538

33aNPI1902912165assigned 08/21/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$38K

24GClaims2,520

24DCodes billed5

24AFirst – last monthJan 2018 – Jul 2019

Compared with peers

Next to other General Practice Dentistry providers in Wisconsin

Rank by total paid#96 of 208

Median peer was paid$26K

This provider vs. median1.5×

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	1,622	$24K
2019	898	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	45%	761	725	$17K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	919	885	$11K
D1206	Topical application of fluoride varnish	17%	625	604	$7K
D0274	Bitewings - four radiographic images	6.2%	159	145	$2K
D1120	Dental cleaning, childProphylaxis - child	2.7%	56	56	$1K

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 officialBENDER, MICHAEL (1ST VICE PRESIDENT)