Dental
Distinctive Dental Services, PA
Distinctive Dental Services, PA was paid $16K by Medicaid between Jan 2018 and May 2024, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 74% of everything it billed.
33Billing provider infoDISTINCTIVE DENTAL SERVICES, PA
HOWARD LAKE, MN 55349
HOWARD LAKE, MN 55349
33aNPI1073780805assigned 05/12/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$16K
24GClaims694
24DCodes billed5
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#192 of 368
Median peer was paid$19K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2018 | 178 | $417.00 | |
| 2019 | 91 | $3K | |
| 2020 | 30 | $0.00 | |
| 2021 | 208 | $4K | |
| 2022 | 135 | $7K | |
| 2023 | 38 | $2K | |
| 2024incomplete | 14 | $485.25 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 74% | 332 | 325 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 147 | 147 | $2K |
| D0274 | Bitewings - four radiographic images | 9.2% | 56 | 55 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 1.8% | 44 | 43 | $283.84 |
| D1999 | 0% | 115 | 102 | $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 officialTHOENNES, MICHAEL (CEO)
Parent organizationDISTINCTIVE DENTAL SERVICES, PA
| Provider | Location | Paid |
|---|---|---|
| Distinctive Dental Services PA | Hilltop, MN | $153K |
| Distinctive Dental Services, PA | Winsted, MN | $51K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.