Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MN › Woodbury › NPI 1083769335
Dental

Group Health Plan INC

Group Health Plan INC was paid $938K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D1110, Prophylaxis - adult — 18% of everything it billed.

33Billing provider infoGROUP HEALTH PLAN INC
WOODBURY, MN 55125
33aNPI1083769335assigned 01/25/2007
28Total paid$938K
24GClaims29,502
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in Minnesota

Rank by total paid#61 of 368
Median peer was paid$19K
This provider vs. median49×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official COONEY, KATHLEEN controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
20186,805$36K
20196,535$290K
20204,592$147K
20214,463$185K
20223,449$143K
20232,466$90K
2024incomplete1,192$47K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 18% 3,686 3,650 $165K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 17% 5,308 5,260 $158K
D1206 Topical application of fluoride varnish 12% 4,679 4,631 $117K
D0274 Bitewings - four radiographic images 9.8% 2,860 2,835 $92K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 8.7% 1,176 726 $82K
D0140 Limited oral evaluation - problem focused 8.2% 2,610 2,439 $76K
D0330 Panoramic radiographic image 7.4% 1,306 1,292 $69K
D1120 Dental cleaning, childProphylaxis - child 5.5% 1,676 1,658 $52K
D0272 Bitewings - two radiographic images 2.5% 859 847 $23K
D0220 Intraoral - periapical first radiographic image 2.3% 1,884 1,835 $22K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.2% 435 301 $21K
D1351 Sealant - per tooth 2.2% 864 233 $20K
11 more codes
D0150 Comprehensive oral evaluation - new or established patient 1.9% 861 $18K
D7140 Extraction, erupted tooth or exposed root 1.6% 175 $15K
D2331 <1% 37 $4K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth <1% 14 $2K
D2940 <1% 56 $925.74
D9110 <1% 15 $580.19
D0230 Intraoral - periapical each additional radiographic image <1% 46 $441.96
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 15 $261.04
D2150 Silver amalgam - two surfaces, primary or permanent <1% 36 $91.34
D1999 0% 644 $0.00
D9995 0% 260 $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 officialCOONEY, KATHLEEN (CAO)
Same official

Other billing entities under COONEY, KATHLEEN

Full network →
ProviderLocationPaid
Group Health Plan INCSaint Paul, MN$3.14M
Group Health Plan INCSaint Paul, MN$1.78M
Group Health Plan INCMaplewood, MN$1.64M
Group Health Plan INCSaint Paul, MN$1.57M
Group Health Plan INCBrooklyn Center, MN$1.54M
Group Health PlanApple Valley, MN$1.35M
Group Health Plan INCBloomington, MN$1.29M
Group Health Plan INCCoon Rapids, MN$1.17M
Group Health Plan INCWhite Bear Lake, MN$739K
Group Health Plan INCBlaine, MN$630K
Group Health Plan INCInver Grove, MN$621K
Group Health PlanArden Hills, MN$555K
Group Health Plan INCSt Louis Park, MN$530K
Group Health Plan INCMinneapolis, MN$471K

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