Clinic
Community Dental Care INC
Community Dental Care INC was paid $19.11M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is D0120, dental checkup, returning patient — 8.5% of everything it billed.
33Billing provider infoCOMMUNITY DENTAL CARE INC
MAPLEWOOD, MN 55119
MAPLEWOOD, MN 55119
33aNPI1003886383assigned 01/26/2006
33bProvider typeDental Clinic/Center
28Total paid$19.11M
24GClaims516,682
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#1 of 148
Median peer was paid$70K
This provider vs. median272×
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 | |
|---|---|---|---|
| 2018 | 76,001 | $485K | |
| 2019 | 83,989 | $3.05M | |
| 2020 | 50,701 | $1.72M | |
| 2021 | 69,669 | $2.50M | |
| 2022 | 73,604 | $3.63M | |
| 2023 | 77,713 | $3.77M | |
| 2024incomplete | 85,005 | $3.96M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.5% | 47,394 | 47,055 | $1.62M |
| D7140 | Extraction, erupted tooth or exposed root | 8.1% | 20,009 | 10,216 | $1.55M |
| D1206 | Topical application of fluoride varnish | 8.0% | 57,520 | 57,039 | $1.52M |
| D1120 | Dental cleaning, childProphylaxis - child | 6.8% | 36,465 | 36,178 | $1.30M |
| D0330 | Panoramic radiographic image | 6.0% | 13,260 | 13,152 | $1.15M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.9% | 8,813 | 3,436 | $1.13M |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.9% | 17,567 | 11,053 | $1.12M |
| D1110 | Prophylaxis - adult | 5.6% | 21,922 | 21,747 | $1.08M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.5% | 10,111 | 7,472 | $863K |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 49,445 | 48,560 | $821K |
| D1351 | Sealant - per tooth | 4.1% | 24,263 | 8,757 | $787K |
| D0274 | Bitewings - four radiographic images | 4.0% | 20,184 | 20,015 | $770K |
36 more codes
| D1330 | 3.9% | 26,220 | $745K | |
| D0230 | Intraoral - periapical each additional radiographic image | 3.8% | 57,590 | $728K |
| D1354 | 2.9% | 17,063 | $559K | |
| D0272 | Bitewings - two radiographic images | 2.9% | 17,223 | $558K |
| D0240 | 2.8% | 17,644 | $544K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 11,645 | $472K |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 11,798 | $386K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.0% | 3,590 | $200K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 9,706 | $177K |
| D2140 | <1% | 3,511 | $159K | |
| D2331 | <1% | 1,429 | $105K | |
| D2335 | <1% | 1,161 | $103K | |
| D2934 | <1% | 439 | $102K | |
| D2330 | <1% | 1,683 | $91K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 1,032 | $76K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 1,298 | $69K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,634 | $59K |
| D2160 | <1% | 844 | $55K | |
| D2332 | <1% | 528 | $38K | |
| D9920 | <1% | 1,070 | $29K | |
| D5212 | <1% | 39 | $27K | |
| D5110 | <1% | 41 | $23K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 254 | $20K |
| D4341 | <1% | 95 | $19K | |
| D9420 | <1% | 567 | $17K | |
| D0190 | <1% | 789 | $12K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 306 | $9K |
| D2940 | <1% | 122 | $8K | |
| D7250 | <1% | 38 | $5K | |
| D9410 | <1% | 84 | $3K | |
| D4910 | <1% | 26 | $2K | |
| D2161 | <1% | 15 | $868.32 | |
| D4355 | <1% | 41 | $703.05 | |
| D9430 | <1% | 45 | $292.89 | |
| D9985 | 0% | 142 | $0.00 | |
| D1999 | 0% | 17 | $0.00 |
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 officialCARLSON, KORI (HR DIRECTOR)