The Dental Clinic

The Dental Clinic was paid $3K by Medicaid between Dec 2024 and Dec 2024, across 6 billing codes. Its largest line is D0330, Panoramic radiographic image — 28% of everything it billed.

33Billing provider infoTHE DENTAL CLINIC
ST PAUL, MN 55104

33aNPI1093445082assigned 06/13/2022

33bProvider typeGeneral Practice Dentistry

28Total paid$3K

24GClaims97

24DCodes billed6

24AFirst – last monthDec 2024 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Minnesota

Rank by total paid#248 of 368

Median peer was paid$19K

This provider vs. median0.2×

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
2024incomplete	97	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0330	Panoramic radiographic image	28%	16	16	$941.87
D1110	Prophylaxis - adult	24%	13	13	$806.44
D0150	Comprehensive oral evaluation - new or established patient	20%	18	18	$667.83
D0274	Bitewings - four radiographic images	14%	13	13	$479.37
D0230	Intraoral - periapical each additional radiographic image	7.0%	23	14	$233.10
D0220	Intraoral - periapical first radiographic image	6.3%	14	14	$209.78

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 officialXIONG, KOLA (OWNER, DENTIST)