Clinic
Selle Family Dental, PC
Selle Family Dental, PC was paid $3K by Medicaid between Jan 2023 and Jul 2024, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.
33Billing provider infoSELLE FAMILY DENTAL, PC
DICKINSON, ND 58601
DICKINSON, ND 58601
33aNPI1932361524assigned 06/26/2008
33bProvider typeDental Clinic/Center
28Total paid$3K
24GClaims95
24DCodes billed4
24AFirst – last monthJan 2023 – Jul 2024
Compared with peers
Next to other Dental Clinic/Center providers in North Dakota
Rank by total paid#36 of 45
Median peer was paid$17K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2023 | 26 | $597.10 | |
| 2024incomplete | 69 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 33% | 25 | 25 | $885.46 |
| D1110 | Prophylaxis - adult | 28% | 13 | 13 | $761.94 |
| D1206 | Topical application of fluoride varnish | 27% | 45 | 45 | $722.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 12 | 12 | $330.59 |
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 officialSELLE, SHANNON (VICE PRESIDENT)