Dental
North Sioux Dental Clinic
North Sioux Dental Clinic was paid $105K by Medicaid between Feb 2018 and Sep 2024, across 14 billing codes. Its largest line is D0120, dental checkup, returning patient — 16% of everything it billed.
33Billing provider infoNORTH SIOUX DENTAL CLINIC
NORTH SIOUX CITY, SD 57049
NORTH SIOUX CITY, SD 57049
33aNPI1912048687assigned 02/08/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$105K
24GClaims4,583
24DCodes billed14
24AFirst – last monthFeb 2018 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in South Dakota
Rank by total paid#26 of 81
Median peer was paid$39K
This provider vs. median2.7×
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 | 344 | $9K | |
| 2019 | 378 | $10K | |
| 2020 | 831 | $16K | |
| 2021 | 1,040 | $21K | |
| 2022 | 1,271 | $35K | |
| 2023 | 569 | $12K | |
| 2024incomplete | 150 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 858 | 824 | $17K |
| D1206 | Topical application of fluoride varnish | 14% | 824 | 810 | $15K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 14% | 123 | 24 | $14K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 552 | 525 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 157 | 55 | $11K |
| D9420 | 10% | 228 | 221 | $11K | |
| D0140 | Limited oral evaluation - problem focused | 7.2% | 306 | 300 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 5.3% | 616 | 603 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 187 | 181 | $4K |
| D1110 | Prophylaxis - adult | 2.4% | 67 | 67 | $3K |
| D0274 | Bitewings - four radiographic images | 2.2% | 108 | 108 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 272 | 231 | $2K |
2 more codes
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 officialCORK, DONALD (GENERAL DENTIST)