Dental
Boys and Girls Club of Portage County
Boys and Girls Club of Portage County was paid $1K by Medicaid between Aug 2019 and Feb 2020, across 2 billing codes. Its largest line is D1120, dental cleaning, child — 58% of everything it billed.
33Billing provider infoBOYS AND GIRLS CLUB OF PORTAGE COUNTY
STEVENS POINT, WI 54481
STEVENS POINT, WI 54481
33aNPI1962916650assigned 11/17/2017
33bProvider typeDental Hygienist
28Total paid$1K
24GClaims67
24DCodes billed2
24AFirst – last monthAug 2019 – Feb 2020
Compared with peers
Next to other Dental Hygienist providers in Wisconsin
Rank by total paid#128 of 141
Median peer was paid$28K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 39 | $601.92 | |
| 2020 | 28 | $442.30 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 58% | 30 | 29 | $608.96 |
| D1206 | Topical application of fluoride varnish | 42% | 37 | 36 | $435.26 |
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 officialGUTIERREZ, MELISSA (SMILE CLUB COORDINATOR)