Kappenman Dental Clinic LTD

Kappenman Dental Clinic LTD was paid $15K by Medicaid between Mar 2018 and Nov 2024, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 54% of everything it billed.

33Billing provider infoKAPPENMAN DENTAL CLINIC LTD
SIOUX FALLS, SD 57106

33aNPI1669607719assigned 05/19/2009

33bProvider typeGeneral Practice Dentistry

28Total paid$15K

24GClaims391

24DCodes billed5

24AFirst – last monthMar 2018 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in South Dakota

Rank by total paid#53 of 81

Median peer was paid$39K

This provider vs. median0.4×

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	55	$2K
2022	75	$2K
2023	98	$4K
2024incomplete	163	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	54%	248	248	$8K
D1110	Prophylaxis - adult	29%	72	72	$4K
D0274	Bitewings - four radiographic images	8.5%	31	31	$1K
D1120	Dental cleaning, childProphylaxis - child	4.4%	13	13	$668.85
D0220	Intraoral - periapical first radiographic image	3.8%	27	27	$567.01

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 officialKAPPENMAN, JAY (DENTIST)