Dental
Hermanson Endodontics LLC
Hermanson Endodontics LLC was paid $697.99 by Medicaid between Jun 2022 and Jun 2022, across 2 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 70% of everything it billed.
33Billing provider infoHERMANSON ENDODONTICS LLC
PIERRE, SD 57501
PIERRE, SD 57501
33aNPI1902329949assigned 07/21/2017
33bProvider typeEndodontist
28Total paid$697.99
24GClaims26
24DCodes billed2
24AFirst – last monthJun 2022 – Jun 2022
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 | |
|---|---|---|---|
| 2022 | 26 | $697.99 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 70% | 12 | 12 | $490.27 |
| D0220 | Intraoral - periapical first radiographic image | 30% | 14 | 14 | $207.72 |
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 officialHERMANSON, BRIAN (ENDODONTIST)