Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Riverdale Pediatric Dentistry P.A.

Riverdale Pediatric Dentistry P.A. was paid $16K by Medicaid between Jan 2018 and Mar 2019, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 37% of everything it billed.

33Billing provider infoRIVERDALE PEDIATRIC DENTISTRY P.A.
COON RAPIDS, MN 55433
33aNPI1053690198assigned 08/07/2011
33bProvider typePediatric Dentist
28Total paid$16K
24GClaims1,082
24DCodes billed7
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers

Next to other Pediatric Dentist providers in Minnesota

Rank by total paid#37 of 49
Median peer was paid$94K
This provider vs. median0.2×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
2018922$13K
2019160$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 37% 328 302 $6K
D1120 Dental cleaning, childProphylaxis - child 34% 320 291 $5K
D1206 Topical application of fluoride varnish 23% 282 251 $4K
D0272 Bitewings - two radiographic images 2.0% 30 24 $315.42
D1351 Sealant - per tooth 1.9% 59 15 $297.96
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1.6% 27 24 $254.52
D0220 Intraoral - periapical first radiographic image 1.3% 36 27 $208.93

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 officialRINDELAUB, DARCY (PEDIATRIC DENTIST)
Same official

Other billing entities under RINDELAUB, DARCY

Full network →
ProviderLocationPaid
New Richmond Kidds Pediatric Dentistry LLCNew Richmond, WI$407K
ST. Croix Kidds Pediatric DentistryWhite Bear Lake, MN$122K
Blaine Kidds Pediatric Dentistry PLLCBlaine, MN$12K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.