Dental
Patterson Family Dental Prof LLC
Patterson Family Dental Prof LLC was paid $151K by Medicaid between Jan 2018 and Sep 2020, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.
33Billing provider infoPATTERSON FAMILY DENTAL PROF LLC
WINNER, SD 57580
WINNER, SD 57580
33aNPI1780094938assigned 04/28/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$151K
24GClaims3,727
24DCodes billed13
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers
Next to other General Practice Dentistry providers in South Dakota
Rank by total paid#19 of 81
Median peer was paid$39K
This provider vs. median3.9×
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 | |
|---|---|---|---|
| 2018 | 1,156 | $42K | |
| 2019 | 1,170 | $48K | |
| 2020 | 1,401 | $61K |
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 | 21% | 354 | 197 | $32K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 675 | 675 | $18K |
| D1110 | Prophylaxis - adult | 12% | 351 | 350 | $18K |
| D1206 | Topical application of fluoride varnish | 11% | 740 | 740 | $17K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 422 | 422 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 357 | 357 | $15K |
| D0274 | Bitewings - four radiographic images | 9.1% | 398 | 398 | $14K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.1% | 128 | 87 | $9K |
| D7140 | Extraction, erupted tooth or exposed root | 3.0% | 54 | 12 | $5K |
| D0140 | Limited oral evaluation - problem focused | 2.6% | 94 | 94 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 110 | 108 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 12 | 12 | $1K |
1 more codes
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 32 | $352.04 |
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 officialPATTERSON, FRANK (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Pierre Family Dental Prof LLC | Pierre, SD | $208K |
| Ainsworth Dental Clinic LLC | Ainsworth, NE | $27K |
| Miller Dental Clinic Prof LLC | Miller, SD | $2K |
| Family Smiles Dental Prof LLC | Rapid City, SD | $612.60 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.