Clinic
Dakota Dental 4 Kids
Dakota Dental 4 Kids was paid $7.06M by Medicaid between Jan 2020 and Dec 2024, across 40 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 23% of everything it billed.
33Billing provider infoDAKOTA DENTAL 4 KIDS
RAPID CITY, SD 57702
RAPID CITY, SD 57702
33aNPI1023660719assigned 07/12/2019
33bProvider typeDental Clinic/Center
28Total paid$7.06M
24GClaims112,623
24DCodes billed40
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in South Dakota
Rank by total paid#1 of 54
Median peer was paid$30K
This provider vs. median238×
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 | |
|---|---|---|---|
| 2020 | 3,243 | $165K | |
| 2021 | 13,786 | $829K | |
| 2022 | 25,516 | $1.50M | |
| 2023 | 37,056 | $2.18M | |
| 2024incomplete | 33,022 | $2.38M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 23% | 8,633 | 1,895 | $1.63M |
| D1351 | Sealant - per tooth | 9.3% | 19,540 | 3,514 | $660K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 6.3% | 959 | 905 | $444K |
| D7140 | Extraction, erupted tooth or exposed root | 6.0% | 4,378 | 1,602 | $424K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.2% | 8,406 | 8,233 | $366K |
| D1206 | Topical application of fluoride varnish | 4.5% | 12,286 | 12,045 | $318K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 4.3% | 2,626 | 967 | $301K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.0% | 2,706 | 1,480 | $285K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.0% | 8,158 | 8,008 | $282K |
| D1110 | Prophylaxis - adult | 3.2% | 3,796 | 3,727 | $223K |
| D0210 | Intraoral - complete series of radiographic images | 3.1% | 2,060 | 2,033 | $216K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.0% | 4,266 | 4,199 | $211K |
28 more codes
| D2140 | 2.8% | 2,394 | $197K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.6% | 1,866 | $186K |
| D9222 | 2.3% | 977 | $162K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.8% | 997 | $129K |
| D9420 | 1.5% | 644 | $109K | |
| D0272 | Bitewings - two radiographic images | 1.5% | 3,494 | $108K |
| D2330 | 1.4% | 970 | $98K | |
| D2934 | 1.4% | 377 | $97K | |
| D0274 | Bitewings - four radiographic images | 1.1% | 1,885 | $78K |
| D0140 | Limited oral evaluation - problem focused | 1.0% | 1,384 | $72K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 4,609 | $64K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,285 | $61K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,512 | $58K |
| D2160 | <1% | 427 | $51K | |
| D0240 | <1% | 2,552 | $49K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 1,153 | $46K |
| D0603 | <1% | 3,145 | $32K | |
| D1510 | <1% | 166 | $29K | |
| D2331 | <1% | 181 | $22K | |
| D1330 | <1% | 865 | $21K | |
| D1354 | <1% | 1,127 | $15K | |
| D7961 | <1% | 28 | $7K | |
| D2940 | <1% | 111 | $5K | |
| D2332 | <1% | 18 | $3K | |
| D7111 | <1% | 39 | $3K | |
| D0601 | <1% | 306 | $2K | |
| D0602 | <1% | 231 | $1K | |
| D1353 | <1% | 66 | $330.70 |
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 officialTEESLINK, CHRIS (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Rapid City Dental Clinic | Rapid City, SD | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.