Dental
Central MN Pediatric Dentists PA
Central MN Pediatric Dentists PA was paid $524K by Medicaid between Jan 2018 and Sep 2022, across 21 billing codes. Its largest line is D0120, dental checkup, returning patient — 27% of everything it billed.
33Billing provider infoCENTRAL MN PEDIATRIC DENTISTS PA
ST CLOUD, MN 56303
ST CLOUD, MN 56303
33aNPI1144267063assigned 05/31/2006
33bProvider typePediatric Dentist
28Total paid$524K
24GClaims31,281
24DCodes billed21
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Pediatric Dentist providers in Minnesota
Rank by total paid#13 of 49
Median peer was paid$94K
This provider vs. median5.6×
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 | 9,072 | $40K | |
| 2019 | 6,589 | $158K | |
| 2020 | 5,956 | $114K | |
| 2021 | 6,699 | $114K | |
| 2022 | 2,965 | $98K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 6,758 | 6,674 | $140K |
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 6,598 | 6,516 | $128K |
| D1206 | Topical application of fluoride varnish | 13% | 3,482 | 3,447 | $68K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 11% | 1,517 | 451 | $59K |
| D0272 | Bitewings - two radiographic images | 11% | 3,173 | 3,134 | $56K |
| D1208 | Topical application of fluoride, excluding varnish | 9.3% | 4,141 | 4,082 | $49K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.7% | 1,347 | 1,314 | $14K |
| D2140 | <1% | 71 | 51 | $3K | |
| D1351 | Sealant - per tooth | <1% | 142 | 39 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 302 | 301 | $1K |
| D1110 | Prophylaxis - adult | <1% | 27 | 27 | $1K |
| D0330 | Panoramic radiographic image | <1% | 14 | 14 | $926.31 |
9 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 181 | $597.36 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 153 | $165.10 |
| D9985 | 0% | 2,894 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 110 | $0.00 |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 0% | 167 | $0.00 |
| D1330 | 0% | 117 | $0.00 | |
| D3230 | 0% | 31 | $0.00 | |
| D1999 | 0% | 12 | $0.00 | |
| D2934 | 0% | 44 | $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 officialWENNER, JOSEPH (PRESIDENT)