Clinic
123 Brush Dental LLC
123 Brush Dental LLC was paid $1.02M by Medicaid between Jul 2019 and Dec 2024, across 24 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 12% of everything it billed.
33Billing provider info123 BRUSH DENTAL LLC
MAPLEWOOD, MN 55109
MAPLEWOOD, MN 55109
33aNPI1053807016assigned 07/02/2018
33bProvider typeDental Clinic/Center
28Total paid$1.02M
24GClaims27,659
24DCodes billed24
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#37 of 148
Median peer was paid$70K
This provider vs. median14×
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 | 595 | $11K | |
| 2020 | 959 | $18K | |
| 2021 | 1,704 | $33K | |
| 2022 | 3,831 | $132K | |
| 2023 | 8,284 | $307K | |
| 2024incomplete | 12,286 | $516K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 12% | 4,239 | 4,215 | $117K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 1,249 | 681 | $114K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 2,923 | 2,908 | $107K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.4% | 2,345 | 2,330 | $96K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.7% | 2,070 | 2,060 | $78K |
| D1330 | 7.6% | 2,578 | 2,563 | $78K | |
| D1110 | Prophylaxis - adult | 7.4% | 1,320 | 1,313 | $75K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.9% | 835 | 470 | $60K |
| D0274 | Bitewings - four radiographic images | 5.1% | 1,269 | 1,263 | $51K |
| D0220 | Intraoral - periapical first radiographic image | 4.8% | 2,804 | 2,769 | $49K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.4% | 2,574 | 2,342 | $35K |
| D1351 | Sealant - per tooth | 3.2% | 920 | 229 | $32K |
12 more codes
| D1354 | 2.9% | 999 | $30K | |
| D7140 | Extraction, erupted tooth or exposed root | 2.5% | 243 | $26K |
| D0272 | Bitewings - two radiographic images | 2.2% | 634 | $23K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 365 | $16K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.2% | 106 | $12K |
| D4341 | <1% | 56 | $10K | |
| D7111 | <1% | 35 | $4K | |
| D2331 | <1% | 18 | $2K | |
| D2330 | <1% | 16 | $1K | |
| D4910 | <1% | 12 | $955.50 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 17 | $920.59 |
| D1310 | 0% | 32 | $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 officialPETERSON, VACHAREE (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Community Dental Care INC | Maplewood, MN | $30.70M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.