Clinic
Black Hills Modern Endodontics
Black Hills Modern Endodontics was paid $1K by Medicaid between Jan 2024 and Jan 2024, across 2 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 75% of everything it billed.
33Billing provider infoBLACK HILLS MODERN ENDODONTICS
RAPID CITY, SD 57701
RAPID CITY, SD 57701
33aNPI1508403957assigned 12/04/2019
33bProvider typeDental Clinic/Center
28Total paid$1K
24GClaims29
24DCodes billed2
24AFirst – last monthJan 2024 – Jan 2024
Compared with peers
Next to other Dental Clinic/Center providers in South Dakota
Rank by total paid#50 of 54
Median peer was paid$30K
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 | |
|---|---|---|---|
| 2024incomplete | 29 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 75% | 15 | 15 | $951.30 |
| D0220 | Intraoral - periapical first radiographic image | 25% | 14 | 14 | $315.64 |
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 officialWILBUR, ERIC (OWNER)