Clinic
Dakota Family Dentistry, Prof. LLC
Dakota Family Dentistry, Prof. LLC was paid $1.32M by Medicaid between Mar 2019 and Dec 2024, across 20 billing codes. Its largest line is D0120, dental checkup, returning patient — 14% of everything it billed.
33Billing provider infoDAKOTA FAMILY DENTISTRY, PROF. LLC
HURON, SD 57350
HURON, SD 57350
33aNPI1962967455assigned 02/08/2019
33bProvider typeDental Clinic/Center
28Total paid$1.32M
24GClaims29,188
24DCodes billed20
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in South Dakota
Rank by total paid#2 of 54
Median peer was paid$30K
This provider vs. median45×
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 | |
|---|---|---|---|
| 2019 | 487 | $20K | |
| 2021 | 2,251 | $86K | |
| 2022 | 10,016 | $402K | |
| 2023 | 8,764 | $390K | |
| 2024incomplete | 7,670 | $422K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 5,262 | 5,166 | $184K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 3,426 | 3,370 | $153K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 1,244 | 738 | $139K |
| D1110 | Prophylaxis - adult | 9.7% | 2,166 | 2,126 | $129K |
| D1208 | Topical application of fluoride, excluding varnish | 8.2% | 3,982 | 3,905 | $108K |
| D1351 | Sealant - per tooth | 6.7% | 2,478 | 736 | $89K |
| D0210 | Intraoral - complete series of radiographic images | 6.1% | 736 | 723 | $81K |
| D7140 | Extraction, erupted tooth or exposed root | 5.7% | 798 | 516 | $75K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.6% | 770 | 510 | $74K |
| D0272 | Bitewings - two radiographic images | 3.7% | 1,514 | 1,495 | $48K |
| D1206 | Topical application of fluoride varnish | 3.6% | 1,703 | 1,685 | $47K |
| D0274 | Bitewings - four radiographic images | 3.4% | 1,117 | 1,096 | $45K |
8 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 979 | $39K |
| D0140 | Limited oral evaluation - problem focused | 2.7% | 743 | $36K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 510 | $26K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 971 | $18K |
| D0145 | Oral evaluation for a patient under three years of age | 1.2% | 416 | $16K |
| D0330 | Panoramic radiographic image | <1% | 81 | $7K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 22 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 270 | $4K |
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 officialFAST, JESSE (OWNER DENTIST)