Clinic
Hometown Dental, PLLC
Hometown Dental, PLLC was paid $2K by Medicaid between Sep 2022 and Jan 2023, across 2 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 87% of everything it billed.
33Billing provider infoHOMETOWN DENTAL, PLLC
DICKINSON, ND 58601
DICKINSON, ND 58601
33aNPI1518628130assigned 01/05/2022
33bProvider typeDental Clinic/Center
28Total paid$2K
24GClaims91
24DCodes billed2
24AFirst – last monthSep 2022 – Jan 2023
Compared with peers
Next to other Dental Clinic/Center providers in North Dakota
Rank by total paid#37 of 45
Median peer was paid$17K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2022 | 70 | $2K | |
| 2023 | 21 | $484.36 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 87% | 71 | 45 | $2K |
| D1206 | Topical application of fluoride varnish | 13% | 20 | 12 | $276.10 |
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 officialPETERS, THOMAS (OWNER)