Dental
Group Health Plan, INC.
Group Health Plan, INC. was paid $302K by Medicaid between Jan 2018 and Dec 2020, across 18 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 22% of everything it billed.
33Billing provider infoGROUP HEALTH PLAN, INC.
LAKE ELMO, MN 55042
LAKE ELMO, MN 55042
33aNPI1093261190assigned 08/29/2016
33bProvider typeEndodontist
28Total paid$302K
24GClaims6,240
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Endodontist providers in Minnesota
Rank by total paid#7 of 14
Median peer was paid$237K
This provider vs. median1.3×
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 | 1,895 | $15K | |
| 2019 | 2,278 | $157K | |
| 2020 | 2,067 | $130K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 22% | 1,063 | 528 | $65K |
| D7230 | 21% | 308 | 150 | $64K | |
| D0140 | Limited oral evaluation - problem focused | 14% | 1,477 | 1,437 | $43K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 9.0% | 293 | 124 | $27K |
| D9222 | 6.1% | 113 | 113 | $18K | |
| D1120 | Dental cleaning, childProphylaxis - child | 4.6% | 521 | 521 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.2% | 455 | 454 | $13K |
| D7240 | Removal of impacted tooth - completely bony | 4.1% | 42 | 25 | $12K |
| D1206 | Topical application of fluoride varnish | 4.0% | 625 | 623 | $12K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 3.1% | 106 | 98 | $10K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 2.0% | 14 | 14 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.6% | 447 | 418 | $5K |
6 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 65 | $5K |
| D0272 | Bitewings - two radiographic images | 1.4% | 175 | $4K |
| D0160 | <1% | 49 | $3K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 44 | $941.84 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 26 | $465.25 |
| D1999 | <1% | 417 | $20.00 |
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 officialGESKO, DAVID (SENIOR VP/ DENTAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Group Health Plan, INC | Bloomington, MN | $4.17M |
| Group Health Plan, INC | Sartell, MN | $2.08M |
| Group Health Plan, INC | Anoka, MN | $870K |
| Group Health Plan, INC | Eden Prairie, MN | $706K |
| Group Health Plan, INC | Plymouth, MN | $648K |
| Group Health Plan, INC | Stillwater, MN | $218K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.