Clinic
Tla DDS PLLC
Tla DDS PLLC was paid $18K by Medicaid between Oct 2022 and Sep 2024, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 53% of everything it billed.
33Billing provider infoTLA DDS PLLC
CROOKSTON, MN 56716
CROOKSTON, MN 56716
33aNPI1073258471assigned 04/29/2022
33bProvider typeDental Clinic/Center
28Total paid$18K
24GClaims459
24DCodes billed4
24AFirst – last monthOct 2022 – Sep 2024
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#90 of 148
Median peer was paid$70K
This provider vs. median0.3×
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 | 54 | $2K | |
| 2023 | 245 | $10K | |
| 2024incomplete | 160 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 53% | 270 | 270 | $10K |
| D1110 | Prophylaxis - adult | 34% | 109 | 109 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 68 | 68 | $2K |
| D0274 | Bitewings - four radiographic images | 2.9% | 12 | 12 | $540.48 |
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 officialAPPLEQUIST, TIARA (OWNER)