Dental
Prairie Rose Family Dentists
Prairie Rose Family Dentists was paid $109K by Medicaid between Jan 2018 and Oct 2024, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoPRAIRIE ROSE FAMILY DENTISTS
BISMARCK, ND 58504
BISMARCK, ND 58504
33aNPI1144391632assigned 11/13/2006
33bProvider typeDentist
28Total paid$109K
24GClaims2,811
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Dentist providers in North Dakota
Rank by total paid#12 of 33
Median peer was paid$14K
This provider vs. median7.5×
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 | 2,684 | $103K | |
| 2019 | 32 | $1K | |
| 2021 | 17 | $721.26 | |
| 2022 | 29 | $1K | |
| 2023 | 25 | $1K | |
| 2024incomplete | 24 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 572 | 548 | $21K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 165 | 99 | $19K |
| D1206 | Topical application of fluoride varnish | 9.7% | 500 | 484 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.3% | 282 | 263 | $10K |
| D1110 | Prophylaxis - adult | 7.7% | 183 | 167 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.6% | 333 | 328 | $8K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.7% | 284 | 234 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.7% | 68 | 41 | $6K |
| D0272 | Bitewings - two radiographic images | 4.2% | 192 | 181 | $5K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.4% | 25 | 12 | $4K |
| D1351 | Sealant - per tooth | 3.3% | 115 | 40 | $4K |
| D0330 | Panoramic radiographic image | 2.9% | 46 | 44 | $3K |
2 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 officialKING, BRADLEY (PRESIDENT)