Dental
Group Health Plan INC
Group Health Plan INC was paid $1.64M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is D1110, Prophylaxis - adult — 14% of everything it billed.
33Billing provider infoGROUP HEALTH PLAN INC
MAPLEWOOD, MN 55109
MAPLEWOOD, MN 55109
33aNPI1043365208assigned 01/25/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$1.64M
24GClaims43,349
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#42 of 368
Median peer was paid$19K
This provider vs. median86×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official COONEY, KATHLEEN controls 14+ related entities in our dataset. Read more
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 | 7,506 | $58K | |
| 2019 | 9,037 | $423K | |
| 2020 | 7,577 | $302K | |
| 2021 | 10,340 | $462K | |
| 2022 | 5,388 | $238K | |
| 2023 | 583 | $21K | |
| 2024incomplete | 2,918 | $136K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 14% | 4,865 | 4,826 | $231K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 6,262 | 6,208 | $189K |
| D1206 | Topical application of fluoride varnish | 10% | 6,363 | 6,305 | $166K |
| D0274 | Bitewings - four radiographic images | 9.4% | 4,427 | 4,380 | $154K |
| D0330 | Panoramic radiographic image | 9.0% | 2,251 | 2,227 | $148K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.8% | 1,729 | 1,088 | $144K |
| D0140 | Limited oral evaluation - problem focused | 7.2% | 3,488 | 3,354 | $117K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.6% | 2,808 | 2,786 | $92K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.8% | 1,358 | 785 | $78K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 1,922 | 1,912 | $63K |
| D7140 | Extraction, erupted tooth or exposed root | 3.8% | 696 | 417 | $61K |
| D1351 | Sealant - per tooth | 3.6% | 1,804 | 477 | $58K |
15 more codes
| D0272 | Bitewings - two radiographic images | 2.7% | 1,491 | $44K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 2,252 | $29K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.4% | 295 | $23K |
| D2140 | <1% | 169 | $11K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 96 | $11K |
| D2331 | <1% | 70 | $7K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 54 | $5K |
| D9110 | <1% | 68 | $3K | |
| D2160 | <1% | 13 | $1K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 12 | $587.50 |
| D0270 | <1% | 34 | $433.96 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 34 | $341.14 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 17 | $322.72 |
| D1999 | 0% | 660 | $0.00 | |
| D9995 | 0% | 111 | $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 officialCOONEY, KATHLEEN (CAO)
| Provider | Location | Paid |
|---|---|---|
| Group Health Plan INC | Saint Paul, MN | $3.14M |
| Group Health Plan INC | Saint Paul, MN | $1.78M |
| Group Health Plan INC | Saint Paul, MN | $1.57M |
| Group Health Plan INC | Brooklyn Center, MN | $1.54M |
| Group Health Plan | Apple Valley, MN | $1.35M |
| Group Health Plan INC | Bloomington, MN | $1.29M |
| Group Health Plan INC | Coon Rapids, MN | $1.17M |
| Group Health Plan INC | Woodbury, MN | $938K |
| Group Health Plan INC | White Bear Lake, MN | $739K |
| Group Health Plan INC | Blaine, MN | $630K |
| Group Health Plan INC | Inver Grove, MN | $621K |
| Group Health Plan | Arden Hills, MN | $555K |
| Group Health Plan INC | St Louis Park, MN | $530K |
| Group Health Plan INC | Minneapolis, MN | $471K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.