Clinic
Sara L Kleven DDS PC
Sara L Kleven DDS PC was paid $106K by Medicaid between Mar 2022 and Dec 2023, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.
33Billing provider infoSARA L KLEVEN DDS PC
RUGBY, ND 58368
RUGBY, ND 58368
33aNPI1437823051assigned 08/06/2021
33bProvider typeDental Clinic/Center
28Total paid$106K
24GClaims3,087
24DCodes billed13
24AFirst – last monthMar 2022 – Dec 2023
Compared with peers
Next to other Dental Clinic/Center providers in North Dakota
Rank by total paid#12 of 45
Median peer was paid$17K
This provider vs. median6.1×
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 | |
|---|---|---|---|
| 2022 | 1,617 | $55K | |
| 2023 | 1,470 | $51K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 23% | 460 | 425 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 612 | 583 | $18K |
| D1206 | Topical application of fluoride varnish | 16% | 689 | 642 | $17K |
| D0274 | Bitewings - four radiographic images | 11% | 312 | 279 | $11K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 295 | 270 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.8% | 178 | 151 | $7K |
| D0330 | Panoramic radiographic image | 6.1% | 114 | 94 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.3% | 22 | 13 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 137 | 119 | $2K |
| D1351 | Sealant - per tooth | 1.8% | 76 | 12 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 126 | 41 | $2K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 40 | 32 | $2K |
1 more codes
| D0272 | Bitewings - two radiographic images | <1% | 26 | $746.40 |
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 officialKLEVEN, SARA (DENTIST/OWNER)