Dental
Dakota Kids Dentistry
Dakota Kids Dentistry was paid $757K by Medicaid between Jan 2018 and Feb 2019, across 21 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 23% of everything it billed.
33Billing provider infoDAKOTA KIDS DENTISTRY
MINOT, ND 58701
MINOT, ND 58701
33aNPI1851582100assigned 08/01/2007
33bProvider typePediatric Dentist
28Total paid$757K
24GClaims16,866
24DCodes billed21
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers
Next to other Pediatric Dentist providers in North Dakota
Rank by total paid#4 of 8
Median peer was paid$415K
This provider vs. median1.8×
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 | 15,661 | $701K | |
| 2019 | 1,205 | $56K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 23% | 1,184 | 306 | $177K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 2,657 | 2,620 | $99K |
| D1208 | Topical application of fluoride, excluding varnish | 9.2% | 2,800 | 2,755 | $69K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.5% | 2,243 | 2,210 | $64K |
| D1351 | Sealant - per tooth | 7.9% | 2,032 | 481 | $60K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.6% | 519 | 293 | $58K |
| D7140 | Extraction, erupted tooth or exposed root | 6.6% | 630 | 233 | $50K |
| D0272 | Bitewings - two radiographic images | 4.2% | 1,143 | 1,135 | $32K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 291 | 179 | $27K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 495 | 491 | $22K |
| D0240 | 2.9% | 739 | 630 | $22K | |
| D9420 | 2.8% | 122 | 118 | $21K |
9 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.7% | 650 | $20K |
| D0145 | Oral evaluation for a patient under three years of age | 1.0% | 198 | $8K |
| D0274 | Bitewings - four radiographic images | <1% | 203 | $7K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 339 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 391 | $6K |
| D0330 | Panoramic radiographic image | <1% | 44 | $3K |
| D1353 | <1% | 146 | $3K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 24 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 16 | $561.31 |
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 officialSCHAEFER, BRIDGET (BUSINESS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Doughboy Pediatric Dental Group | Minot, ND | $5.55M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.