Dental
Family Pediatric Dental Specialists PLC
Family Pediatric Dental Specialists PLC was paid $756K by Medicaid between Jan 2019 and Dec 2024, across 21 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 22% of everything it billed.
33Billing provider infoFAMILY PEDIATRIC DENTAL SPECIALISTS PLC
BURNSVILLE, MN 55306
BURNSVILLE, MN 55306
33aNPI1013017177assigned 09/25/2006
33bProvider typePediatric Dentist
28Total paid$756K
24GClaims20,683
24DCodes billed21
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Minnesota
Rank by total paid#11 of 49
Median peer was paid$94K
This provider vs. median8.1×
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 | 1,398 | $29K | |
| 2020 | 1,755 | $31K | |
| 2021 | 4,247 | $94K | |
| 2022 | 4,112 | $165K | |
| 2023 | 4,382 | $213K | |
| 2024incomplete | 4,789 | $225K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 22% | 1,107 | 383 | $165K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 3,501 | 3,481 | $120K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 3,101 | 3,094 | $104K |
| D1206 | Topical application of fluoride varnish | 12% | 3,630 | 3,591 | $89K |
| D1110 | Prophylaxis - adult | 6.9% | 1,048 | 1,045 | $52K |
| D0274 | Bitewings - four radiographic images | 4.8% | 803 | 799 | $37K |
| D0272 | Bitewings - two radiographic images | 4.6% | 1,193 | 1,191 | $35K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.9% | 329 | 205 | $29K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.7% | 1,636 | 1,386 | $28K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.5% | 553 | 552 | $26K |
| D1351 | Sealant - per tooth | 2.6% | 1,196 | 351 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 865 | 858 | $16K |
9 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 804 | $11K |
| D0140 | Limited oral evaluation - problem focused | <1% | 144 | $7K |
| D0330 | Panoramic radiographic image | <1% | 85 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 65 | $6K |
| D1352 | <1% | 106 | $4K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 30 | $2K |
| D2140 | <1% | 16 | $669.76 | |
| D1999 | 0% | 263 | $0.00 | |
| D3120 | 0% | 208 | $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 officialHAYES, CELIA (CREDENTIALING COORDINATOR)
Parent organizationFAMILY PEDIATRIC DENTAL SPECIALISTS PLC
| Provider | Location | Paid |
|---|---|---|
| ST Paul Oral Surgery and Dental Implants LLC | Saint Paul, MN | $1.26M |
| Family Orthodontic Specialists, PLC | Richfield, MN | $277K |
| Tru Dental Michigan II, PLLC | Lapeer, MI | $169K |
| Capital Area Hudson Valley New York Dental PC | Greenfield, MA | $17K |
| Tru Dental Michigan II, PLLC | Warren, MI | $17K |
| Tru Dental Michigan PC | Livonia, MI | $16K |
| Tru Dental Michigan PC | Dearborn Heights, MI | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.