Rapid City Dental PLLC

Rapid City Dental PLLC was paid $53K by Medicaid between Jan 2024 and Sep 2024, across 10 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 20% of everything it billed.

33Billing provider infoRAPID CITY DENTAL PLLC
RAPID CITY, SD 57702

33aNPI1477325736assigned 10/30/2023

33bProvider typeDental Clinic/Center

28Total paid$53K

24GClaims1,206

24DCodes billed10

24AFirst – last monthJan 2024 – Sep 2024

Compared with peers

Next to other Dental Clinic/Center providers in South Dakota

Rank by total paid#21 of 54

Median peer was paid$30K

This provider vs. median1.8×

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
2024incomplete	1,206	$53K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	20%	171	171	$10K
D0330	Panoramic radiographic image	18%	112	112	$10K
D1110	Prophylaxis - adult	14%	112	112	$7K
D0274	Bitewings - four radiographic images	13%	152	152	$7K
D0220	Intraoral - periapical first radiographic image	9.4%	238	231	$5K
D0230	Intraoral - periapical each additional radiographic image	8.5%	316	162	$5K
D7140	Extraction, erupted tooth or exposed root	5.5%	23	15	$3K
D0140	Limited oral evaluation - problem focused	5.5%	50	50	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	5.5%	18	12	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	14	14	$486.24

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 officialVAWTER, ADAM (DENTIST/OWNER)