Dental
Shawd Neighborhood Dental Clinic Beresford P.C.
Shawd Neighborhood Dental Clinic Beresford P.C. was paid $249K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 26% of everything it billed.
33Billing provider infoSHAWD NEIGHBORHOOD DENTAL CLINIC BERESFORD P.C.
BERESFORD, SD 57004
BERESFORD, SD 57004
33aNPI1467763995assigned 06/30/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$249K
24GClaims8,129
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in South Dakota
Rank by total paid#10 of 81
Median peer was paid$39K
This provider vs. median6.5×
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 | 729 | $19K | |
| 2019 | 989 | $28K | |
| 2020 | 709 | $21K | |
| 2021 | 1,590 | $54K | |
| 2022 | 1,776 | $56K | |
| 2023 | 1,420 | $38K | |
| 2024incomplete | 916 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 2,410 | 2,394 | $64K |
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 1,666 | 1,657 | $61K |
| D1206 | Topical application of fluoride varnish | 21% | 2,363 | 2,350 | $52K |
| D1110 | Prophylaxis - adult | 12% | 625 | 615 | $30K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.3% | 174 | 105 | $16K |
| D0272 | Bitewings - two radiographic images | 4.7% | 467 | 467 | $12K |
| D0274 | Bitewings - four radiographic images | 3.0% | 229 | 229 | $8K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.9% | 122 | 109 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 23 | 17 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 26 | 26 | $1K |
| D1351 | Sealant - per tooth | 0% | 24 | 12 | $0.00 |
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, LYNN (HR MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Shawd NBD 26TH P.C. | Sioux Falls, SD | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.