Dental
Waterford Childrens Dentistry SC
Waterford Childrens Dentistry SC was paid $254K by Medicaid between Nov 2023 and Dec 2024, across 15 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 38% of everything it billed.
33Billing provider infoWATERFORD CHILDRENS DENTISTRY SC
WATERFORD, WI 53185
WATERFORD, WI 53185
33aNPI1982385944assigned 07/31/2023
33bProvider typePediatric Dentist
28Total paid$254K
24GClaims5,766
24DCodes billed15
24AFirst – last monthNov 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Wisconsin
Rank by total paid#22 of 61
Median peer was paid$85K
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2023 | 878 | $19K | |
| 2024incomplete | 4,888 | $235K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 38% | 554 | 161 | $96K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.5% | 611 | 551 | $24K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.3% | 675 | 624 | $24K |
| D1206 | Topical application of fluoride varnish | 7.3% | 832 | 758 | $19K |
| D0140 | Limited oral evaluation - problem focused | 5.7% | 397 | 360 | $14K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.3% | 280 | 242 | $13K |
| D0272 | Bitewings - two radiographic images | 4.8% | 640 | 587 | $12K |
| D0240 | 4.8% | 927 | 397 | $12K | |
| D7140 | Extraction, erupted tooth or exposed root | 4.2% | 125 | 46 | $11K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.4% | 83 | 37 | $9K |
| D9420 | 2.3% | 28 | 24 | $6K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.9% | 170 | 164 | $5K |
3 more codes
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 officialFRADY, CHRISTY (OWNER)
Parent organizationPARAMOUNT PEDIATRIC DENTISTRY SC