Dental
Family Dentists Prof LLC
Family Dentists Prof LLC was paid $19K by Medicaid between Feb 2018 and Oct 2024, across 4 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 35% of everything it billed.
33Billing provider infoFAMILY DENTISTS PROF LLC
RAPID CITY, SD 57701
RAPID CITY, SD 57701
33aNPI1851697148assigned 02/03/2011
33bProvider typeDentist
28Total paid$19K
24GClaims646
24DCodes billed4
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers
Next to other Dentist providers in South Dakota
Rank by total paid#20 of 42
Median peer was paid$19K
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 | |
|---|---|---|---|
| 2018 | 269 | $8K | |
| 2019 | 154 | $4K | |
| 2020 | 24 | $712.84 | |
| 2021 | 62 | $2K | |
| 2022 | 76 | $2K | |
| 2023 | 24 | $713.76 | |
| 2024incomplete | 37 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 35% | 273 | 273 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 31% | 153 | 153 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 31% | 192 | 192 | $6K |
| D0272 | Bitewings - two radiographic images | 4.0% | 28 | 28 | $749.00 |
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 officialBENUSIS, (JAY) JOHN (OFFICER)