Dental
Dakota Pediatric Dentistry Partnership
Dakota Pediatric Dentistry Partnership was paid $415K by Medicaid between Aug 2021 and Nov 2024, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.
33Billing provider infoDAKOTA PEDIATRIC DENTISTRY PARTNERSHIP
GRAND FORKS, ND 58201
GRAND FORKS, ND 58201
33aNPI1821761537assigned 07/28/2021
33bProvider typePediatric Dentist
28Total paid$415K
24GClaims11,052
24DCodes billed16
24AFirst – last monthAug 2021 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in North Dakota
Rank by total paid#5 of 8
Median peer was paid$415K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2021 | 1,981 | $77K | |
| 2022 | 4,851 | $209K | |
| 2023 | 2,372 | $77K | |
| 2024incomplete | 1,848 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 2,170 | 1,938 | $89K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 18% | 429 | 108 | $74K |
| D1206 | Topical application of fluoride varnish | 15% | 2,347 | 2,104 | $63K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,831 | 1,643 | $55K |
| D0272 | Bitewings - two radiographic images | 9.1% | 1,394 | 1,247 | $38K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 473 | 431 | $21K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.5% | 136 | 64 | $15K |
| D0240 | 2.8% | 376 | 197 | $12K | |
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 629 | 552 | $12K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.6% | 343 | 300 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.0% | 625 | 203 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | 1.5% | 59 | 29 | $6K |
4 more codes
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 officialHOGE, CHAD (GENERAL PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Dakota Pediatric Dentistry PC | Grand Forks, ND | $320K |
| Dakota Pediatric Dentistry | Fargo, ND | $122K |
| Dakota Pediatric Dentistry Partnership | Fargo, ND | $85K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.