Dental
Mccook County Dentalcenter,pc
Mccook County Dentalcenter,pc was paid $1K by Medicaid between Sep 2024 and Oct 2024, across 3 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 54% of everything it billed.
33Billing provider infoMCCOOK COUNTY DENTALCENTER,PC
SALEM, SD 57058
SALEM, SD 57058
33aNPI1962615344assigned 05/08/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$1K
24GClaims37
24DCodes billed3
24AFirst – last monthSep 2024 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in South Dakota
Rank by total paid#77 of 81
Median peer was paid$39K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 37 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 54% | 12 | 12 | $791.52 |
| D1206 | Topical application of fluoride varnish | 29% | 13 | 13 | $424.06 |
| D0220 | Intraoral - periapical first radiographic image | 17% | 12 | 12 | $240.37 |
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 officialDICK, MARY (OWNER)