Clinic
Dakota Pediatric Dentistry PC
Dakota Pediatric Dentistry PC was paid $320K by Medicaid between Jan 2018 and Jul 2021, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoDAKOTA PEDIATRIC DENTISTRY PC
GRAND FORKS, ND 58201
GRAND FORKS, ND 58201
33aNPI1578898268assigned 10/13/2009
33bProvider typeDental Clinic/Center
28Total paid$320K
24GClaims10,202
24DCodes billed14
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers
Next to other Dental Clinic/Center providers in North Dakota
Rank by total paid#6 of 45
Median peer was paid$17K
This provider vs. median18×
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 | 2,132 | $28K | |
| 2019 | 2,175 | $57K | |
| 2020 | 2,908 | $79K | |
| 2021 | 2,987 | $155K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 2,558 | 2,185 | $83K |
| D1206 | Topical application of fluoride varnish | 17% | 2,842 | 2,457 | $56K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 2,093 | 1,806 | $55K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 13% | 224 | 60 | $42K |
| D0272 | Bitewings - two radiographic images | 6.6% | 985 | 888 | $21K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.7% | 251 | 219 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.3% | 278 | 260 | $14K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.7% | 81 | 40 | $12K |
| D0240 | 2.0% | 324 | 175 | $6K | |
| D7140 | Extraction, erupted tooth or exposed root | 1.5% | 43 | 12 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 214 | 199 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 227 | 88 | $3K |
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 | Fargo, ND | $122K |
| 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.