Dental
Delvin Hansen DDS PC
Delvin Hansen DDS PC was paid $2K by Medicaid between May 2018 and Oct 2018, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 61% of everything it billed.
33Billing provider infoDELVIN HANSEN DDS PC
HARVEY, ND 58341
HARVEY, ND 58341
33aNPI1841521572assigned 01/20/2010
33bProvider typeEndodontist
28Total paid$2K
24GClaims53
24DCodes billed2
24AFirst – last monthMay 2018 – Oct 2018
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 | 53 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 61% | 38 | 36 | $948.35 |
| D1110 | Prophylaxis - adult | 39% | 15 | 12 | $601.45 |
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 officialHANSEN, DELVIN (OWNER)