Dental
Dakota Pediatric Dentistry Partnership
Dakota Pediatric Dentistry Partnership was paid $85K by Medicaid between Aug 2021 and Nov 2024, across 8 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 30% of everything it billed.
33Billing provider infoDAKOTA PEDIATRIC DENTISTRY PARTNERSHIP
FARGO, ND 58104
FARGO, ND 58104
33aNPI1346811965assigned 07/06/2021
33bProvider typePediatric Dentist
28Total paid$85K
24GClaims3,251
24DCodes billed8
24AFirst – last monthAug 2021 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in North Dakota
Rank by total paid#6 of 8
Median peer was paid$415K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2021 | 523 | $13K | |
| 2022 | 1,227 | $34K | |
| 2023 | 905 | $22K | |
| 2024incomplete | 596 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 30% | 1,134 | 1,086 | $26K |
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 760 | 735 | $25K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 938 | 900 | $23K |
| D0272 | Bitewings - two radiographic images | 9.0% | 310 | 295 | $8K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.5% | 69 | 66 | $2K |
| D1110 | Prophylaxis - adult | <1% | 15 | 15 | $613.42 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 13 | 13 | $530.20 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12 | 12 | $169.44 |
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 officialHOGE, CHAD (GENERAL PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Dakota Pediatric Dentistry Partnership | Grand Forks, ND | $415K |
| Dakota Pediatric Dentistry PC | Grand Forks, ND | $320K |
| Dakota Pediatric Dentistry | Fargo, ND | $122K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.