Dental
Kenmare Dental Clinic
Kenmare Dental Clinic was paid $658.50 by Medicaid between Aug 2019 and Jun 2020, across 2 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 100% of everything it billed.
33Billing provider infoKENMARE DENTAL CLINIC
KENMARE, ND 58746
KENMARE, ND 58746
33aNPI1164677399assigned 12/02/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$658.50
24GClaims45
24DCodes billed2
24AFirst – last monthAug 2019 – Jun 2020
Compared with peers
Next to other General Practice Dentistry providers in North Dakota
Rank by total paid#34 of 40
Median peer was paid$9K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2019 | 16 | $342.42 | |
| 2020 | 29 | $316.08 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 100% | 29 | 28 | $658.50 |
| D1999 | 0% | 16 | 15 | $0.00 |
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 officialTHELEN, TRACY (OFFICE MANAGER)
Parent organizationKENMARE DENTAL CLINIC