Prairie Rose Family Dentists

Prairie Rose Family Dentists was paid $126K by Medicaid between Jun 2018 and Oct 2024, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 37% of everything it billed.

33Billing provider infoPRAIRIE ROSE FAMILY DENTISTS
BISMARCK, ND 58503

33aNPI1689117830assigned 11/21/2016

33bProvider typeDentist

28Total paid$126K

24GClaims4,317

24DCodes billed8

24AFirst – last monthJun 2018 – Oct 2024

Compared with peers

Next to other Dentist providers in North Dakota

Rank by total paid#10 of 33

Median peer was paid$14K

This provider vs. median8.7×

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
2018	970	$26K
2019	903	$26K
2020	709	$21K
2021	669	$22K
2022	441	$14K
2023	366	$11K
2024incomplete	259	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	37%	1,299	1,257	$47K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	1,341	1,270	$37K
D1206	Topical application of fluoride varnish	25%	1,329	1,279	$31K
D0272	Bitewings - two radiographic images	3.3%	145	144	$4K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2.9%	33	15	$4K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	2.1%	93	89	$3K
D1351	Sealant - per tooth	<1%	62	12	$1K
D0150	Comprehensive oral evaluation - new or established patient	0%	15	15	$0.00

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 officialSPIES, CHRIS (DOCTOR)