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    OpenPayerNPI Medicare & MedicaidSara L Kleven Dds PC
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    Sara L Kleven Dds PC — Billing Profile & Reimbursement Data

    NPI 1437823051 · Rugby, ND · Dental Clinic/Center

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    Sara L Kleven Dds PC is a dental clinic/center provider located in Rugby, North Dakota. This profile covers 0 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSara L Kleven Dds PC
    Address132 S Main Ave
    CityRugby
    StateND
    ZIP58368
    TaxonomyDental Clinic/Center
    NPI EnumeratedAugust 6, 2021

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$105.9K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1110Prophylaxis - adult; cleaning and polishing of the teeth460$50$24.4K
    D0120Periodic oral evaluation - established patient610$30$17.7K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients690$30$17.2K
    D0274N/A310$40$11.2K
    D1120Prophylaxis–child300$40$10.9K
    D0150Comprehensive oral evaluation – new or established patient180$40$7.1K
    D0330N/A110$60$6.5K
    D2392Post 2 surface resin‑based composite20$110$2.4K
    D0220Intraoral - periapical first radiographic image140$20$2.3K
    D1351Sealant - per tooth80$30$1.9K

    Showing 1–10 of 13

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other North Dakota providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. North Dakota median

    13 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2392Post 2 surface resin‑based composite3040130$110$83.4K
    D1120Prophylaxis–child4280360$40$48.3K
    D0120Periodic oral evaluation - established patient45120350$40$46.8K
    D1351Sealant - per tooth3030470$20$46.6K
    D0140Limited oral evaluation – problem focused3140100$70$44K
    D0150Comprehensive oral evaluation – new or established patient3360250$50$27K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth2680160$40$24.1K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients40110230$20$23.6K
    D0272N/A3950150$20$20.5K
    D0330N/A184080$40$18.1K

    Showing 1–10 of 13

    Nearby Providers

    Other providers in the same ZIP code as Sara L Kleven Dds PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Good Samaritan Hospital AssociationNDCritical Access Hospital$0$376K
    Good Samaritan Hospital AssociationNDFamily Medicine Physician$0$365.4K
    Rugby Dental Office, P.C.NDDental Clinic/Center$0$266.2K
    Mkl LLCNDHome Health Agency$0$224.4K
    Nodak Security Alarm Enterprises LLCNDEmergency Response System Companies$0$152.9K
    Jeffrey VaagenNDFamily Medicine Physician$44.1K$0
    White Drug Co Of Jamestown IncNDCommunity/Retail Pharmacy$40.5K$0
    Brian SellandNDFamily Medicine Physician$34.4K$0
    Good Samaritan Hospital AssociationNDEmergency Medicine Physician$0$33.3K
    Jordan BackstromNDPhysical Therapist$33K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. North Dakota Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Dakota Distribution
    Sara L Kleven Dds PC — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota