Amann & Graslie DDS, PC

Amann & Graslie DDS, PC was paid $62K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 40% of everything it billed.

33Billing provider infoAMANN & GRASLIE DDS, PC
SPEARFISH, SD 57783

33aNPI1225161383assigned 03/14/2007

33bProvider typeDentist

28Total paid$62K

24GClaims2,223

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Dentist providers in South Dakota

Rank by total paid#10 of 42

Median peer was paid$19K

This provider vs. median3.4×

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	367	$10K
2019	454	$13K
2020	223	$7K
2021	282	$8K
2022	350	$10K
2023	332	$8K
2024incomplete	215	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	40%	863	851	$25K
D1206	Topical application of fluoride varnish	32%	844	831	$20K
D1120	Dental cleaning, childProphylaxis - child	21%	350	350	$13K
D0272	Bitewings - two radiographic images	6.2%	142	142	$4K
D1110	Prophylaxis - adult	1.2%	24	24	$754.98

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 officialAMANN, JEFFREY (PRESIDENT)