Dental
Sedation & Implant Dentistry
Sedation & Implant Dentistry was paid $443.17 by Medicaid between Jul 2020 and Nov 2021, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 100% of everything it billed.
33Billing provider infoSEDATION & IMPLANT DENTISTRY
SAINT PAUL, MN 55119
SAINT PAUL, MN 55119
33aNPI1073787669assigned 04/15/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$443.17
24GClaims241
24DCodes billed3
24AFirst – last monthJul 2020 – Nov 2021
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#315 of 368
Median peer was paid$19K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2020 | 100 | $0.00 | |
| 2021 | 141 | $443.17 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 100% | 13 | 13 | $443.17 |
| D9985 | 0% | 152 | 140 | $0.00 | |
| D1999 | 0% | 76 | 71 | $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 officialANDRESON, KARL (OWNER)