Clinic
Bolen Dental PC
Bolen Dental PC was paid $478.27 by Medicaid between Apr 2022 and Apr 2022, across 1 billing code. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 100% of everything it billed.
33Billing provider infoBOLEN DENTAL PC
CUSTER, SD 57730
CUSTER, SD 57730
33aNPI1659962595assigned 02/02/2021
33bProvider typeDental Clinic/Center
28Total paid$478.27
24GClaims12
24DCodes billed1
24AFirst – last monthApr 2022 – Apr 2022
Compared with peers
Next to other Dental Clinic/Center providers in South Dakota
Rank by total paid#52 of 54
Median peer was paid$30K
This provider vs. median0.0×
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 | 12 | $478.27 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 100% | 12 | 12 | $478.27 |
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 officialBOLEN, KARI (PRESIDENT BOLEN DENTAL PC)
| Provider | Location | Paid |
|---|---|---|
| Bolen Family Dentistry P.C. | Sioux Falls, SD | $31K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.