Maher Dental Clinic, Prof. LLC

Maher Dental Clinic, Prof. LLC was paid $96K by Medicaid between Mar 2018 and Nov 2024, across 11 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 32% of everything it billed.

33Billing provider infoMAHER DENTAL CLINIC, PROF. LLC
PIERRE, SD 57501

33aNPI1093840969assigned 02/22/2007

33bProvider typeDentist

28Total paid$96K

24GClaims3,241

24DCodes billed11

24AFirst – last monthMar 2018 – Nov 2024

Compared with peers

Next to other Dentist providers in South Dakota

Rank by total paid#7 of 42

Median peer was paid$19K

This provider vs. median5.2×

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	223	$6K
2019	501	$13K
2020	282	$7K
2021	430	$12K
2022	540	$16K
2023	686	$21K
2024incomplete	579	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	32%	1,380	1,369	$31K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	26%	859	858	$25K
D1120	Dental cleaning, childProphylaxis - child	17%	428	428	$17K
D1110	Prophylaxis - adult	8.3%	161	156	$8K
D0150	Comprehensive oral evaluation - new or established patient	5.4%	104	104	$5K
D1351	Sealant - per tooth	4.7%	121	16	$4K
D2391	Resin-based composite - one surface, posterior, primary or permanent	2.7%	22	13	$3K
D0272	Bitewings - two radiographic images	2.1%	68	68	$2K
D1354		1.2%	68	14	$1K
D0274	Bitewings - four radiographic images	<1%	17	12	$502.34
D0603		<1%	13	13	$65.65

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 officialMAHER, JAMIE (PRESIDENT)