Clinic
St.Francis Mission Dental Clinic
St.Francis Mission Dental Clinic was paid $27K by Medicaid between Mar 2018 and Jun 2024, across 10 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 27% of everything it billed.
33Billing provider infoST.FRANCIS MISSION DENTAL CLINIC
ST.FRANCIS, SD 57572
ST.FRANCIS, SD 57572
33aNPI1285073742assigned 06/18/2013
33bProvider typeDental Clinic/Center
28Total paid$27K
24GClaims694
24DCodes billed10
24AFirst – last monthMar 2018 – Jun 2024
Compared with peers
Next to other Dental Clinic/Center providers in South Dakota
Rank by total paid#29 of 54
Median peer was paid$30K
This provider vs. median0.9×
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 | 238 | $11K | |
| 2019 | 222 | $7K | |
| 2022 | 50 | $2K | |
| 2023 | 155 | $6K | |
| 2024incomplete | 29 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 27% | 150 | 133 | $7K |
| D0140 | Limited oral evaluation - problem focused | 18% | 107 | 95 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 11% | 37 | 21 | $3K |
| D1206 | Topical application of fluoride varnish | 9.5% | 106 | 105 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.7% | 25 | 16 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 8.5% | 125 | 112 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.3% | 58 | 58 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.0% | 37 | 37 | $1K |
| D0272 | Bitewings - two radiographic images | 3.0% | 30 | 30 | $807.42 |
| D0274 | Bitewings - four radiographic images | 2.6% | 19 | 19 | $687.99 |
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 officialKHAROUF, JOHN (DENTIST)
Parent organizationST.FRANICS MISSION