Dental
Lake Dental Group
Lake Dental Group was paid $70K by Medicaid between Jan 2018 and Aug 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 37% of everything it billed.
33Billing provider infoLAKE DENTAL GROUP
RACINE, WI 53403
RACINE, WI 53403
33aNPI1922314210assigned 08/24/2010
33bProvider typeDentist
28Total paid$70K
24GClaims2,968
24DCodes billed11
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Dentist providers in Wisconsin
Rank by total paid#71 of 185
Median peer was paid$28K
This provider vs. median2.5×
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 | 1,509 | $35K | |
| 2019 | 594 | $12K | |
| 2020 | 215 | $5K | |
| 2021 | 142 | $4K | |
| 2022 | 85 | $3K | |
| 2023 | 284 | $7K | |
| 2024incomplete | 139 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 37% | 815 | 763 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 762 | 709 | $14K |
| D0274 | Bitewings - four radiographic images | 12% | 413 | 390 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 12% | 533 | 487 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | 6.8% | 44 | 17 | $5K |
| D0140 | Limited oral evaluation - problem focused | 3.4% | 55 | 53 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.6% | 56 | 55 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 154 | 133 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 1.8% | 68 | 66 | $1K |
| D0272 | Bitewings - two radiographic images | 1.7% | 54 | 53 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 14 | 14 | $443.64 |
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 officialPOOLE, LILLY (OFFICE MANAGER)