Dental
Riverside Dental PLLC
Riverside Dental PLLC was paid $75K by Medicaid between Dec 2019 and Dec 2020, across 14 billing codes. Its largest line is D0120, dental checkup, returning patient — 17% of everything it billed.
33Billing provider infoRIVERSIDE DENTAL PLLC
GRAND FORKS, ND 58201
GRAND FORKS, ND 58201
33aNPI1609302231assigned 05/02/2017
33bProvider typeDentist
28Total paid$75K
24GClaims2,590
24DCodes billed14
24AFirst – last monthDec 2019 – Dec 2020
Compared with peers
Next to other Dentist providers in North Dakota
Rank by total paid#13 of 33
Median peer was paid$14K
This provider vs. median5.1×
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 | |
|---|---|---|---|
| 2019 | 278 | $6K | |
| 2020 | 2,312 | $68K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 574 | 458 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 16% | 520 | 463 | $12K |
| D1110 | Prophylaxis - adult | 15% | 277 | 234 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 96 | 55 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 12% | 100 | 57 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 245 | 196 | $8K |
| D0330 | Panoramic radiographic image | 4.1% | 41 | 41 | $3K |
| D0274 | Bitewings - four radiographic images | 2.9% | 72 | 57 | $2K |
| D0272 | Bitewings - two radiographic images | 2.9% | 88 | 76 | $2K |
| D9110 | 2.6% | 38 | 35 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | 1.8% | 16 | 16 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 95 | 72 | $1K |
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 officialVESTERSO, AMANDA (OWNER)