Prairie Dental INC

Prairie Dental INC was paid $48K by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 44% of everything it billed.

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	12	$332.20
2019	24	$547.94
2020	111	$3K
2021	334	$9K
2022	670	$16K
2023	365	$10K
2024incomplete	277	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	44%	807	723	$21K
D1206	Topical application of fluoride varnish	30%	629	563	$14K
D1120	Dental cleaning, childProphylaxis - child	22%	317	273	$11K
D1110	Prophylaxis - adult	4.3%	40	37	$2K

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 officialSARSLAND, JENNIFER (DENTIST)