Clinic
Maple Family Dental P.C.
Maple Family Dental P.C. was paid $285K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is D1351, Sealant - per tooth — 56% of everything it billed.
33Billing provider infoMAPLE FAMILY DENTAL P.C.
HORACE, ND 58047
HORACE, ND 58047
33aNPI1487105276assigned 10/18/2016
33bProvider typeDental Clinic/Center
28Total paid$285K
24GClaims12,488
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in North Dakota
Rank by total paid#7 of 45
Median peer was paid$17K
This provider vs. median16×
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 | 2,157 | $50K | |
| 2019 | 2,012 | $57K | |
| 2020 | 736 | $16K | |
| 2021 | 1,828 | $48K | |
| 2022 | 3,146 | $44K | |
| 2023 | 1,428 | $31K | |
| 2024incomplete | 1,181 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 56% | 6,801 | 698 | $158K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 1,585 | 1,274 | $46K |
| D1206 | Topical application of fluoride varnish | 12% | 1,832 | 1,462 | $34K |
| D0274 | Bitewings - four radiographic images | 4.8% | 484 | 354 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.5% | 498 | 428 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 269 | 225 | $9K |
| D0272 | Bitewings - two radiographic images | 1.6% | 209 | 165 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.5% | 31 | 12 | $4K |
| D0190 | 1.0% | 603 | 428 | $3K | |
| D0240 | <1% | 44 | 19 | $1K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 15 | 14 | $547.50 |
| D1999 | 0% | 117 | 92 | $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 officialBULTEMA, JONATHAN (PRESIDENT)