Dental
Blaine Dental LLC Dba Pro Dental
Blaine Dental LLC Dba Pro Dental was paid $2.42M by Medicaid between Aug 2022 and Dec 2024, across 28 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 14% of everything it billed.
33Billing provider infoBLAINE DENTAL LLC DBA PRO DENTAL
BLAINE, MN 55449
BLAINE, MN 55449
33aNPI1063768687assigned 08/01/2012
33bProvider typeDentist
28Total paid$2.42M
24GClaims49,207
24DCodes billed28
24AFirst – last monthAug 2022 – Dec 2024
Compared with peers
Next to other Dentist providers in Minnesota
Rank by total paid#11 of 192
Median peer was paid$9K
This provider vs. median264×
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 | |
|---|---|---|---|
| 2022 | 7,695 | $371K | |
| 2023 | 21,232 | $1.03M | |
| 2024incomplete | 20,280 | $1.02M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 14% | 3,325 | 1,221 | $351K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 9.2% | 2,236 | 1,239 | $223K |
| D0140 | Limited oral evaluation - problem focused | 6.7% | 3,724 | 3,652 | $162K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.6% | 3,920 | 3,917 | $160K |
| D1110 | Prophylaxis - adult | 6.3% | 2,366 | 2,363 | $152K |
| D0330 | Panoramic radiographic image | 5.9% | 1,529 | 1,526 | $143K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.4% | 9,457 | 4,231 | $131K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.4% | 2,907 | 2,906 | $130K |
| D0220 | Intraoral - periapical first radiographic image | 4.4% | 5,789 | 5,669 | $107K |
| D1206 | Topical application of fluoride varnish | 4.3% | 3,097 | 3,094 | $104K |
| D2331 | 3.5% | 728 | 417 | $84K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.0% | 1,321 | 1,321 | $73K |
16 more codes
| D2161 | 2.9% | 478 | $69K | |
| D2160 | 2.7% | 549 | $66K | |
| D2140 | 2.7% | 839 | $66K | |
| D2332 | 2.7% | 459 | $65K | |
| D0272 | Bitewings - two radiographic images | 2.5% | 1,562 | $62K |
| D1354 | 2.1% | 1,436 | $50K | |
| D0274 | Bitewings - four radiographic images | 2.0% | 1,039 | $49K |
| D1351 | Sealant - per tooth | 1.7% | 1,034 | $42K |
| D2335 | 1.5% | 242 | $35K | |
| D2330 | <1% | 247 | $21K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 116 | $17K |
| D0273 | <1% | 357 | $16K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 164 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 194 | $15K |
| D7111 | <1% | 59 | $7K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 33 | $6K |
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 officialNAZIR, ARIF (BDS)