Dental
Dakota Pediatric Dentistry
Dakota Pediatric Dentistry was paid $122K by Medicaid between Jan 2018 and Jul 2021, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 38% of everything it billed.
33Billing provider infoDAKOTA PEDIATRIC DENTISTRY
FARGO, ND 58104
FARGO, ND 58104
33aNPI1487824991assigned 03/11/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$122K
24GClaims4,787
24DCodes billed6
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers
Next to other General Practice Dentistry providers in North Dakota
Rank by total paid#9 of 40
Median peer was paid$9K
This provider vs. median14×
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 | 1,329 | $35K | |
| 2019 | 1,498 | $38K | |
| 2020 | 1,215 | $28K | |
| 2021 | 745 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 38% | 1,257 | 1,167 | $46K |
| D1206 | Topical application of fluoride varnish | 27% | 1,638 | 1,522 | $33K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 1,375 | 1,269 | $31K |
| D0272 | Bitewings - two radiographic images | 8.0% | 425 | 382 | $10K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.5% | 79 | 67 | $2K |
| D1110 | Prophylaxis - adult | <1% | 13 | 13 | $714.36 |
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 officialHOGE, CHAD (VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Dakota Pediatric Dentistry Partnership | Grand Forks, ND | $415K |
| Dakota Pediatric Dentistry PC | Grand Forks, ND | $320K |
| Dakota Pediatric Dentistry Partnership | Fargo, ND | $85K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.