Dental
Family Smiles Dental Prof LLC
Family Smiles Dental Prof LLC was paid $612.60 by Medicaid between Jan 2019 and Jan 2019, across 1 billing code. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 100% of everything it billed.
33Billing provider infoFAMILY SMILES DENTAL PROF LLC
RAPID CITY, SD 57701
RAPID CITY, SD 57701
33aNPI1487142808assigned 05/01/2018
33bProvider typeDentist
28Total paid$612.60
24GClaims15
24DCodes billed1
24AFirst – last monthJan 2019 – Jan 2019
Compared with peers
Next to other Dentist providers in South Dakota
Rank by total paid#39 of 42
Median peer was paid$19K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 15 | $612.60 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 100% | 15 | 15 | $612.60 |
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 officialPATTERSON, FRANK (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Pierre Family Dental Prof LLC | Pierre, SD | $208K |
| Patterson Family Dental Prof LLC | Winner, SD | $151K |
| Ainsworth Dental Clinic LLC | Ainsworth, NE | $27K |
| Miller Dental Clinic Prof LLC | Miller, SD | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.