Dental
Doughboy Pediatric Dental Group
Doughboy Pediatric Dental Group was paid $5.55M by Medicaid between Feb 2019 and Dec 2024, across 23 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 23% of everything it billed.
33Billing provider infoDOUGHBOY PEDIATRIC DENTAL GROUP
MINOT, ND 58701
MINOT, ND 58701
33aNPI1184197931assigned 01/04/2019
33bProvider typePediatric Dentist
28Total paid$5.55M
24GClaims126,360
24DCodes billed23
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in North Dakota
Rank by total paid#2 of 8
Median peer was paid$415K
This provider vs. median13×
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 | 17,557 | $708K | |
| 2020 | 17,192 | $698K | |
| 2021 | 23,219 | $1.08M | |
| 2022 | 23,647 | $1.03M | |
| 2023 | 24,104 | $1.12M | |
| 2024incomplete | 20,641 | $916K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 23% | 8,830 | 2,211 | $1.27M |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 19,726 | 19,211 | $770K |
| D1351 | Sealant - per tooth | 10.0% | 18,593 | 4,174 | $553K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.7% | 18,043 | 17,632 | $536K |
| D1208 | Topical application of fluoride, excluding varnish | 7.9% | 16,899 | 16,386 | $437K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.4% | 2,755 | 1,518 | $302K |
| D7140 | Extraction, erupted tooth or exposed root | 4.8% | 3,517 | 1,349 | $269K |
| D0272 | Bitewings - two radiographic images | 4.6% | 8,853 | 8,540 | $254K |
| D0240 | 2.9% | 5,713 | 4,021 | $163K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.8% | 4,980 | 4,547 | $158K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 1,395 | 927 | $124K |
| D9420 | 2.1% | 665 | 603 | $115K |
11 more codes
| D1206 | Topical application of fluoride varnish | 1.9% | 3,860 | $107K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 2,298 | $103K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.7% | 1,046 | $97K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 1,569 | $65K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,735 | $53K |
| D0330 | Panoramic radiographic image | <1% | 583 | $42K |
| D0274 | Bitewings - four radiographic images | <1% | 1,091 | $41K |
| D1353 | <1% | 713 | $29K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,796 | $27K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 651 | $26K |
| D2932 | <1% | 49 | $15K |
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 officialSCHAEFER, BRIDGET (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Dakota Kids Dentistry | Minot, ND | $757K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.