Clinic
Winner Dental Clinic, Prof. LLC
Winner Dental Clinic, Prof. LLC was paid $110K by Medicaid between Dec 2020 and Dec 2024, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 27% of everything it billed.
33Billing provider infoWINNER DENTAL CLINIC, PROF. LLC
WINNER, SD 57580
WINNER, SD 57580
33aNPI1609483015assigned 09/29/2020
33bProvider typeDental Clinic/Center
28Total paid$110K
24GClaims3,201
24DCodes billed10
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in South Dakota
Rank by total paid#16 of 54
Median peer was paid$30K
This provider vs. median3.7×
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 | |
|---|---|---|---|
| 2020 | 107 | $4K | |
| 2021 | 1,411 | $53K | |
| 2022 | 783 | $24K | |
| 2023 | 461 | $12K | |
| 2024incomplete | 439 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 1,026 | 1,016 | $29K |
| D1110 | Prophylaxis - adult | 23% | 496 | 493 | $25K |
| D1206 | Topical application of fluoride varnish | 20% | 958 | 949 | $22K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 383 | 383 | $14K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.7% | 90 | 43 | $8K |
| D0274 | Bitewings - four radiographic images | 5.3% | 170 | 168 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 25 | 18 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.1% | 27 | 27 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 1.1% | 13 | 13 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 13 | 13 | $222.95 |
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 officialFARLEY, BRADLEY (OWNER DENTIST)