Dental
Black Hills Pediatric Dentistry
Black Hills Pediatric Dentistry was paid $24.72M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 28% of everything it billed.
33Billing provider infoBLACK HILLS PEDIATRIC DENTISTRY
RAPID CITY, SD 57702
RAPID CITY, SD 57702
33aNPI1194867499assigned 02/13/2007
33bProvider typePediatric Dentist
28Total paid$24.72M
24GClaims440,649
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in South Dakota
Rank by total paid#1 of 9
Median peer was paid$840K
This provider vs. median29×
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 | 92,597 | $5.16M | |
| 2019 | 36,394 | $2.14M | |
| 2020 | 11,220 | $669K | |
| 2021 | 36,155 | $2.10M | |
| 2022 | 87,260 | $4.44M | |
| 2023 | 97,253 | $4.87M | |
| 2024incomplete | 79,770 | $5.34M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 28% | 37,286 | 7,474 | $6.87M |
| D7140 | Extraction, erupted tooth or exposed root | 8.8% | 23,487 | 7,636 | $2.19M |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.3% | 20,037 | 8,568 | $1.81M |
| D1120 | Dental cleaning, childProphylaxis - child | 5.7% | 34,719 | 34,295 | $1.42M |
| D1208 | Topical application of fluoride, excluding varnish | 5.7% | 56,027 | 55,118 | $1.42M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.5% | 42,696 | 42,184 | $1.37M |
| D1351 | Sealant - per tooth | 5.2% | 39,313 | 11,536 | $1.28M |
| D9420 | 4.8% | 7,107 | 7,029 | $1.19M | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.2% | 7,607 | 3,265 | $790K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.9% | 5,998 | 3,810 | $710K |
| D1110 | Prophylaxis - adult | 2.4% | 10,509 | 10,389 | $597K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.4% | 42,239 | 15,282 | $587K |
29 more codes
| D2140 | 2.4% | 7,904 | $581K | |
| D0210 | Intraoral - complete series of radiographic images | 2.3% | 5,846 | $574K |
| D0272 | Bitewings - two radiographic images | 1.9% | 16,592 | $482K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 22,688 | $410K |
| D2330 | 1.5% | 3,869 | $371K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 6,913 | $335K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.1% | 3,051 | $274K |
| D0274 | Bitewings - four radiographic images | 1.0% | 6,391 | $248K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 5,534 | $193K |
| D1330 | <1% | 7,933 | $191K | |
| D1510 | <1% | 886 | $152K | |
| D2331 | <1% | 1,080 | $127K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,611 | $122K |
| D0603 | <1% | 12,182 | $110K | |
| D7111 | <1% | 1,180 | $84K | |
| D0330 | Panoramic radiographic image | <1% | 869 | $62K |
| D2160 | <1% | 302 | $32K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 161 | $31K |
| D1354 | <1% | 2,228 | $30K | |
| D0602 | <1% | 2,350 | $20K | |
| D0601 | <1% | 2,106 | $16K | |
| D2390 | <1% | 54 | $14K | |
| D2931 | <1% | 43 | $10K | |
| D2332 | <1% | 51 | $9K | |
| D3120 | <1% | 262 | $9K | |
| D1353 | <1% | 272 | $7K | |
| D9971 | <1% | 81 | $3K | |
| D0270 | <1% | 150 | $3K | |
| D9430 | <1% | 35 | $1K |
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 officialTOROK-HOBEN, PAMM (CEO)
| Provider | Location | Paid |
|---|---|---|
| Black Hills Pediatric Dentistry | Rapid City, SD | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.