Dental
South Western Dental
South Western Dental was paid $211K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is D9920, — 38% of everything it billed.
33Billing provider infoSOUTH WESTERN DENTAL
SIOUX FALLS, SD 57108
SIOUX FALLS, SD 57108
33aNPI1326136607assigned 10/11/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$211K
24GClaims3,852
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in South Dakota
Rank by total paid#12 of 81
Median peer was paid$39K
This provider vs. median5.5×
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 | 854 | $45K | |
| 2019 | 431 | $22K | |
| 2021 | 365 | $20K | |
| 2022 | 740 | $40K | |
| 2023 | 761 | $42K | |
| 2024incomplete | 701 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9920 | 38% | 721 | 677 | $80K | |
| D1110 | Prophylaxis - adult | 36% | 1,338 | 1,307 | $75K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 1,500 | 1,469 | $46K |
| D1206 | Topical application of fluoride varnish | 3.2% | 241 | 235 | $7K |
| D0274 | Bitewings - four radiographic images | <1% | 52 | 52 | $2K |
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 officialWEISBECKER, THOMAS (PRESIDENT)