Liebold Dental PLLC

Liebold Dental PLLC was paid $9K by Medicaid between Feb 2018 and Mar 2021, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 37% of everything it billed.

33Billing provider infoLIEBOLD DENTAL PLLC
BOTTINEAU, ND 58318

33aNPI1316483050assigned 01/18/2017

33bProvider typeDentist

28Total paid$9K

24GClaims312

24DCodes billed4

24AFirst – last monthFeb 2018 – Mar 2021

Compared with peers

Next to other Dentist providers in North Dakota

Rank by total paid#19 of 33

Median peer was paid$14K

This provider vs. median0.6×

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	108	$4K
2019	107	$4K
2020	72	$2K
2021	25	$671.27

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	37%	137	132	$3K
D1110	Prophylaxis - adult	30%	45	43	$3K
D1206	Topical application of fluoride varnish	26%	117	110	$2K
D1120	Dental cleaning, childProphylaxis - child	6.8%	13	13	$633.37

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 officialLIEBOLD, DAVID (DIRECTOR)