Dental
Peace Garden Dental PLLC
Peace Garden Dental PLLC was paid $324K by Medicaid between Sep 2023 and Dec 2024, across 17 billing codes. Its largest line is D0330, Panoramic radiographic image — 21% of everything it billed.
33Billing provider infoPEACE GARDEN DENTAL PLLC
FARGO, ND 58102
FARGO, ND 58102
33aNPI1033893946assigned 06/12/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$324K
24GClaims9,316
24DCodes billed17
24AFirst – last monthSep 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in North Dakota
Rank by total paid#4 of 40
Median peer was paid$9K
This provider vs. median38×
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 | 5,091 | $113K | |
| 2024incomplete | 4,225 | $212K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 21% | 1,694 | 1,032 | $68K |
| D0210 | Intraoral - complete series of radiographic images | 18% | 934 | 650 | $57K |
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 2,012 | 1,207 | $56K |
| D1110 | Prophylaxis - adult | 9.9% | 763 | 540 | $32K |
| D1206 | Topical application of fluoride varnish | 6.5% | 1,238 | 777 | $21K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.6% | 181 | 84 | $18K |
| D0274 | Bitewings - four radiographic images | 4.9% | 611 | 385 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 127 | 57 | $12K |
| D0180 | 3.1% | 272 | 207 | $10K | |
| D1120 | Dental cleaning, childProphylaxis - child | 2.4% | 463 | 194 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.8% | 235 | 211 | $6K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.7% | 32 | 14 | $5K |
5 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 officialKUMAR, SWATI (GENERAL DENTIST)