Dental
Family Dental Care
Family Dental Care was paid $174K by Medicaid between Jan 2018 and Jul 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 28% of everything it billed.
33Billing provider infoFAMILY DENTAL CARE
RAPID CITY, SD 57701
RAPID CITY, SD 57701
33aNPI1336287580assigned 02/01/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$174K
24GClaims4,933
24DCodes billed10
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other General Practice Dentistry providers in South Dakota
Rank by total paid#15 of 81
Median peer was paid$39K
This provider vs. median4.5×
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 | 1,206 | $41K | |
| 2019 | 1,109 | $37K | |
| 2020 | 461 | $15K | |
| 2021 | 974 | $34K | |
| 2022 | 795 | $29K | |
| 2023 | 263 | $12K | |
| 2024incomplete | 125 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 28% | 894 | 893 | $49K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 1,465 | 1,456 | $43K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 654 | 654 | $25K |
| D1206 | Topical application of fluoride varnish | 12% | 883 | 883 | $21K |
| D0274 | Bitewings - four radiographic images | 9.8% | 473 | 473 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.1% | 253 | 253 | $11K |
| D0210 | Intraoral - complete series of radiographic images | 2.0% | 42 | 42 | $3K |
| D1351 | Sealant - per tooth | 1.6% | 100 | 27 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 128 | 124 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 41 | 41 | $954.48 |
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 officialOLSON, JEFFREY (DOCTOR)
| Provider | Location | Paid |
|---|---|---|
| Lakes Dental Care PLC | Baxter, MN | $30K |
| Montross Pharmacy INC | Winterset, IA | $6K |
| Lakes Dental Care PLC | Pequot Lakes, MN | $429.96 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.