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DELTA DENTAL OF SOUTH DAKOTA FOUNDATION
DELTA DENTAL OF SOUTH DAKOTA FOUNDATION
NPI: 1124363957
· PIERRE, SD 57501
· 261QD0000X
$595K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,542 |
$195K |
| 2019 |
3,691 |
$112K |
| 2020 |
1,252 |
$38K |
| 2021 |
3,162 |
$101K |
| 2022 |
2,396 |
$72K |
| 2024 |
1,926 |
$77K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
5,827 |
5,825 |
$229K |
| D1206 |
|
6,789 |
6,786 |
$160K |
| D1351 |
|
4,832 |
1,732 |
$157K |
| D1353 |
|
618 |
280 |
$20K |
| D1330 |
|
703 |
703 |
$18K |
| D1110 |
|
200 |
199 |
$11K |