Dental
Distinctive Dental Services PA
Distinctive Dental Services PA was paid $153K by Medicaid between Feb 2018 and Nov 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 41% of everything it billed.
33Billing provider infoDISTINCTIVE DENTAL SERVICES PA
HILLTOP, MN 55421
HILLTOP, MN 55421
33aNPI1144484205assigned 07/17/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$153K
24GClaims4,776
24DCodes billed14
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#105 of 368
Median peer was paid$19K
This provider vs. median8.0×
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 | 215 | $311.66 | |
| 2019 | 147 | $4K | |
| 2020 | 614 | $11K | |
| 2021 | 985 | $20K | |
| 2022 | 998 | $42K | |
| 2023 | 1,068 | $42K | |
| 2024incomplete | 749 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 41% | 1,373 | 1,355 | $62K |
| D0274 | Bitewings - four radiographic images | 17% | 828 | 814 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 1,057 | 1,039 | $25K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 657 | 646 | $22K |
| D1206 | Topical application of fluoride varnish | 3.0% | 172 | 169 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 2.4% | 44 | 44 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.4% | 58 | 54 | $2K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.4% | 23 | 13 | $2K |
| D0330 | Panoramic radiographic image | 1.4% | 30 | 30 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 95 | 91 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 15 | 12 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 31 | 30 | $425.76 |
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 officialTHOENNES, MICHAEL (CEO)
Parent organizationDISTINCTIVE DENTAL SERVICES, PA
| Provider | Location | Paid |
|---|---|---|
| Distinctive Dental Services, PA | Winsted, MN | $51K |
| Distinctive Dental Services, PA | Howard Lake, MN | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.