Clinic
2ND Street Dental, LLC
2ND Street Dental, LLC was paid $2.35M by Medicaid between Apr 2018 and Dec 2024, across 24 billing codes. Its largest line is D2150, Silver amalgam - two surfaces, primary or permanent — 26% of everything it billed.
33Billing provider info2ND STREET DENTAL, LLC
CASPER, WY 82609
CASPER, WY 82609
33aNPI1881194280assigned 02/13/2018
33bProvider typeDental Clinic/Center
28Total paid$2.35M
24GClaims51,396
24DCodes billed24
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Wyoming
Rank by total paid#1 of 18
Median peer was paid$7K
This provider vs. median361×
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 | 3,759 | $151K | |
| 2019 | 5,737 | $214K | |
| 2020 | 4,714 | $167K | |
| 2021 | 7,141 | $251K | |
| 2022 | 9,992 | $418K | |
| 2023 | 9,469 | $536K | |
| 2024incomplete | 10,584 | $610K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2150 | Silver amalgam - two surfaces, primary or permanent | 26% | 6,214 | 1,660 | $613K |
| D1351 | Sealant - per tooth | 14% | 11,646 | 1,919 | $337K |
| D0220 | Intraoral - periapical first radiographic image | 10% | 6,019 | 3,100 | $244K |
| D1110 | Prophylaxis - adult | 8.1% | 3,657 | 3,586 | $190K |
| D0274 | Bitewings - four radiographic images | 5.9% | 3,832 | 3,770 | $138K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.7% | 3,737 | 3,676 | $134K |
| D1206 | Topical application of fluoride varnish | 4.6% | 2,961 | 2,924 | $109K |
| D9110 | 4.5% | 1,894 | 1,723 | $105K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.1% | 2,918 | 2,867 | $96K |
| D0330 | Panoramic radiographic image | 3.9% | 1,517 | 1,486 | $91K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.9% | 1,878 | 1,853 | $68K |
| D7140 | Extraction, erupted tooth or exposed root | 2.2% | 712 | 345 | $53K |
12 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.5% | 1,343 | $36K |
| D0140 | Limited oral evaluation - problem focused | 1.4% | 730 | $32K |
| D4355 | 1.3% | 351 | $30K | |
| D2331 | <1% | 188 | $20K | |
| D2140 | <1% | 223 | $16K | |
| D0170 | <1% | 477 | $14K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 101 | $8K |
| D1330 | <1% | 845 | $7K | |
| D4346 | <1% | 78 | $7K | |
| D2330 | <1% | 23 | $2K | |
| D0160 | <1% | 12 | $468.00 | |
| D9986 | 0% | 40 | $0.00 |
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 officialHAEFELE, MIRANDA (DENTIST/OWNER)