Coulee Family Dental LLC

Coulee Family Dental LLC was paid $4K by Medicaid between Feb 2018 and Jun 2024, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 49% of everything it billed.

33Billing provider infoCOULEE FAMILY DENTAL LLC
LA CROSSE, WI 54601

33aNPI1922401280assigned 10/01/2014

33bProvider typeDentist

28Total paid$4K

24GClaims182

24DCodes billed3

24AFirst – last monthFeb 2018 – Jun 2024

Compared with peers

Next to other Dentist providers in Wisconsin

Rank by total paid#144 of 185

Median peer was paid$28K

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
2018	31	$615.42
2019	13	$331.63
2021	59	$1K
2022	35	$680.73
2023	30	$565.11
2024incomplete	14	$262.59

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	49%	100	96	$2K
D1110	Prophylaxis - adult	44%	68	64	$2K
D1206	Topical application of fluoride varnish	6.6%	14	13	$234.65

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 officialJONES, CHRISTINE (DENTIST)