Nelson Dental Clinic PC

Nelson Dental Clinic PC was paid $4K by Medicaid between Nov 2018 and Aug 2023, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 41% of everything it billed.

33Billing provider infoNELSON DENTAL CLINIC PC
SISSETON, SD 57262

33aNPI1518463892assigned 04/04/2018

33bProvider typeDentist

28Total paid$4K

24GClaims113

24DCodes billed3

24AFirst – last monthNov 2018 – Aug 2023

Compared with peers

Next to other Dentist providers in South Dakota

Rank by total paid#30 of 42

Median peer was paid$19K

This provider vs. median0.2×

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	48	$1K
2019	14	$360.26
2022	12	$295.79
2023	39	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	41%	27	27	$2K
D1208	Topical application of fluoride, excluding varnish	38%	55	55	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	21%	31	31	$784.56

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 officialNELSON, EVAN (DOCTOR)