Clinic
Delta Dental of South Dakota Foundation
Delta Dental of South Dakota Foundation was paid $595K by Medicaid between Jan 2018 and May 2024, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 39% of everything it billed.
33Billing provider infoDELTA DENTAL OF SOUTH DAKOTA FOUNDATION
PIERRE, SD 57501
PIERRE, SD 57501
33aNPI1124363957assigned 12/05/2012
33bProvider typeDental Clinic/Center
28Total paid$595K
24GClaims18,969
24DCodes billed6
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Dental Clinic/Center providers in South Dakota
Rank by total paid#5 of 54
Median peer was paid$30K
This provider vs. median20×
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 | 6,542 | $195K | |
| 2019 | 3,691 | $112K | |
| 2020 | 1,252 | $38K | |
| 2021 | 3,162 | $101K | |
| 2022 | 2,396 | $72K | |
| 2024incomplete | 1,926 | $77K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 39% | 5,827 | 5,825 | $229K |
| D1206 | Topical application of fluoride varnish | 27% | 6,789 | 6,786 | $160K |
| D1351 | Sealant - per tooth | 26% | 4,832 | 1,732 | $157K |
| D1353 | 3.4% | 618 | 280 | $20K | |
| D1330 | 2.9% | 703 | 703 | $18K | |
| D1110 | Prophylaxis - adult | 1.9% | 200 | 199 | $11K |
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 officialHALVERSON, CONNIE (VP OF PUBLIC BENEFIT)
| Provider | Location | Paid |
|---|---|---|
| Delta Dental of South Dakota Foundation | Pierre, SD | $1.20M |
| Delta Dental of South Dakota Foundation | Pierre, SD | $1.00M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.