Dental
ST. Vincent De Paul of Sauk Prairie/ Roxbury, INC
ST. Vincent De Paul of Sauk Prairie/ Roxbury, INC was paid $104K by Medicaid between Mar 2018 and Dec 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.
33Billing provider infoST. VINCENT DE PAUL OF SAUK PRAIRIE/ ROXBURY, INC
PRAIRIE DU SAC, WI 53578
PRAIRIE DU SAC, WI 53578
33aNPI1982901088assigned 02/25/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$104K
24GClaims3,741
24DCodes billed9
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Wisconsin
Rank by total paid#70 of 208
Median peer was paid$26K
This provider vs. median4.0×
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 | |
|---|---|---|---|
| 2018 | 556 | $11K | |
| 2019 | 656 | $16K | |
| 2020 | 361 | $7K | |
| 2021 | 623 | $15K | |
| 2022 | 590 | $22K | |
| 2023 | 515 | $17K | |
| 2024incomplete | 440 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 34% | 1,157 | 1,142 | $35K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 21% | 340 | 246 | $21K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 1,152 | 1,137 | $18K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 14% | 293 | 195 | $14K |
| D0274 | Bitewings - four radiographic images | 9.3% | 520 | 517 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 104 | 103 | $2K |
| D1206 | Topical application of fluoride varnish | 1.9% | 148 | 146 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 15 | 15 | $821.20 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 12 | 12 | $240.02 |
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 officialFABISIAK, KAREN (GENERAL MANAGER)