Clinic
Brown Deer Dental Health Center, SC
Brown Deer Dental Health Center, SC was paid $1.83M by Medicaid between May 2023 and Dec 2024, across 20 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 29% of everything it billed.
33Billing provider infoBROWN DEER DENTAL HEALTH CENTER, SC
GLENDALE, WI 53209
GLENDALE, WI 53209
33aNPI1942995667assigned 04/07/2023
33bProvider typeDental Clinic/Center
28Total paid$1.83M
24GClaims43,839
24DCodes billed20
24AFirst – last monthMay 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Wisconsin
Rank by total paid#12 of 51
Median peer was paid$1.07M
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2023 | 15,621 | $703K | |
| 2024incomplete | 28,218 | $1.13M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 29% | 4,613 | 1,317 | $524K |
| D0210 | Intraoral - complete series of radiographic images | 12% | 3,786 | 3,592 | $214K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 6,821 | 6,480 | $199K |
| D7140 | Extraction, erupted tooth or exposed root | 7.8% | 2,614 | 1,126 | $143K |
| D9248 | 7.6% | 1,036 | 1,010 | $140K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.4% | 4,206 | 3,990 | $118K |
| D1206 | Topical application of fluoride varnish | 5.8% | 6,634 | 6,293 | $106K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.4% | 4,873 | 4,623 | $99K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.8% | 1,365 | 1,284 | $70K |
| D7111 | 2.8% | 922 | 403 | $51K | |
| D0274 | Bitewings - four radiographic images | 2.5% | 1,970 | 1,902 | $46K |
| D0272 | Bitewings - two radiographic images | 2.0% | 2,245 | 2,129 | $38K |
8 more codes
| D0140 | Limited oral evaluation - problem focused | 1.3% | 910 | $23K |
| D1351 | Sealant - per tooth | 1.2% | 1,034 | $22K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.0% | 296 | $18K |
| D0330 | Panoramic radiographic image | <1% | 371 | $18K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 48 | $2K |
| D2330 | <1% | 41 | $2K | |
| D1354 | <1% | 31 | $278.72 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 23 | $257.72 |
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 officialKNUTSEN, NATHAN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Racine Tooth Town Dentistry for Kids | Racine, WI | $6.48M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.