Dakota Smiles, PLLC

Dakota Smiles, PLLC was paid $2K by Medicaid between Sep 2020 and Sep 2020, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.

33Billing provider infoDAKOTA SMILES, PLLC
FARGO, ND 58104

33aNPI1740430198assigned 09/23/2008

33bProvider typeDental Clinic/Center

28Total paid$2K

24GClaims88

24DCodes billed4

24AFirst – last monthSep 2020 – Sep 2020

Compared with peers

Next to other Dental Clinic/Center providers in North Dakota

Rank by total paid#39 of 45

Median peer was paid$17K

This provider vs. median0.1×

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	88	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	34%	20	12	$701.00
D0274	Bitewings - four radiographic images	24%	19	12	$489.76
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	23%	25	15	$471.73
D1206	Topical application of fluoride varnish	19%	24	14	$378.00

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 officialDUCHSHERER, CHARLES (CO-OWNER)