Dental
Excel Dentistry
Excel Dentistry was paid $2K by Medicaid between Jan 2018 and Feb 2019, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 51% of everything it billed.
33Billing provider infoEXCEL DENTISTRY
ST LOUIS PARK, MN 55426
ST LOUIS PARK, MN 55426
33aNPI1073789913assigned 04/30/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$2K
24GClaims383
24DCodes billed5
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#261 of 368
Median peer was paid$19K
This provider vs. median0.1×
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 | 316 | $295.99 | |
| 2019 | 67 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 51% | 120 | 120 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 44% | 225 | 224 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 4.6% | 12 | 12 | $107.60 |
| D1206 | Topical application of fluoride varnish | 0% | 14 | 14 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 12 | 12 | $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 officialALASSY, HATEM (TREASURER)