Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Metropolitan Pediatric Dental Associates, LTD

Metropolitan Pediatric Dental Associates, LTD was paid $315K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 36% of everything it billed.

33Billing provider infoMETROPOLITAN PEDIATRIC DENTAL ASSOCIATES, LTD
NORTH OAKS, MN 55127
33aNPI1083763023assigned 01/09/2007
33bProvider typePediatric Dentist
28Total paid$315K
24GClaims13,888
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Minnesota

Rank by total paid#20 of 49
Median peer was paid$94K
This provider vs. median3.4×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20182,822$11K
20192,754$58K
20201,281$26K
20212,301$49K
20221,590$59K
20231,565$55K
2024incomplete1,575$56K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 36% 4,350 4,317 $114K
D1206 Topical application of fluoride varnish 25% 3,816 3,792 $79K
D1120 Dental cleaning, childProphylaxis - child 18% 2,437 2,414 $58K
D1110 Prophylaxis - adult 9.4% 819 816 $30K
D0272 Bitewings - two radiographic images 8.0% 1,370 1,355 $25K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2.3% 710 645 $7K
D0274 Bitewings - four radiographic images <1% 69 68 $2K
D0220 Intraoral - periapical first radiographic image <1% 28 28 $209.60
D1208 Topical application of fluoride, excluding varnish 0% 260 254 $0.00
D0150 Comprehensive oral evaluation - new or established patient 0% 16 16 $0.00
D0230 Intraoral - periapical each additional radiographic image 0% 13 13 $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 officialNICKMAN, JAMES (PRESIDENT)
Parent organizationMETROPOLITAN PEDIATRIC DENTAL ASSOCIATES, LTD
Same official

Other billing entities under NICKMAN, JAMES

Full network →
ProviderLocationPaid
Metropolitan Pediatric Dental Associates, LTDSaint Paul, MN$4.74M
Metropolitan Pediatric Dental Associates, LTDEagan, MN$494K
Wesclare CorporationLemont Furnace, PA$606.52

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.