Clinic
Black Hills Implant and Family Dental LLC
Black Hills Implant and Family Dental LLC was paid $87K by Medicaid between Oct 2022 and Dec 2024, across 12 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 16% of everything it billed.
33Billing provider infoBLACK HILLS IMPLANT AND FAMILY DENTAL LLC
STURGIS, SD 57785
STURGIS, SD 57785
33aNPI1699428227assigned 02/02/2022
33bProvider typeDental Clinic/Center
28Total paid$87K
24GClaims1,470
24DCodes billed12
24AFirst – last monthOct 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in South Dakota
Rank by total paid#18 of 54
Median peer was paid$30K
This provider vs. median2.9×
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 | 85 | $3K | |
| 2023 | 461 | $27K | |
| 2024incomplete | 924 | $57K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 90 | 55 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 251 | 250 | $13K |
| D1110 | Prophylaxis - adult | 14% | 204 | 204 | $13K |
| D7140 | Extraction, erupted tooth or exposed root | 13% | 88 | 30 | $11K |
| D0274 | Bitewings - four radiographic images | 9.8% | 181 | 181 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.0% | 193 | 190 | $7K |
| D1206 | Topical application of fluoride varnish | 7.6% | 223 | 223 | $7K |
| D0330 | Panoramic radiographic image | 7.1% | 71 | 71 | $6K |
| D0140 | Limited oral evaluation - problem focused | 4.7% | 67 | 65 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.0% | 56 | 54 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 26 | 26 | $524.04 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 20 | 13 | $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 officialHETTINGER, BRIAN (DENIST)