Dental
Wenham, Grace
Wenham, Grace was paid $2K by Medicaid between Jun 2022 and Jun 2022, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 42% of everything it billed.
33Billing provider infoWENHAM, GRACE
MONONA, WI 53716
MONONA, WI 53716
33aNPI1922122100assigned 03/16/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$2K
24GClaims74
24DCodes billed4
24AFirst – last monthJun 2022 – Jun 2022
Compared with peers
Next to other General Practice Dentistry providers in Wisconsin
Rank by total paid#156 of 208
Median peer was paid$26K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2022 | 74 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 42% | 23 | 23 | $766.65 |
| D1206 | Topical application of fluoride varnish | 21% | 19 | 19 | $382.45 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 16 | 16 | $356.64 |
| D0272 | Bitewings - two radiographic images | 18% | 16 | 16 | $325.90 |
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.