Dental
Mora Dental Center LLC
Mora Dental Center LLC was paid $248K by Medicaid between Jan 2019 and Nov 2024, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 20% of everything it billed.
33Billing provider infoMORA DENTAL CENTER LLC
MORA, MN 55051
MORA, MN 55051
33aNPI1144760158assigned 02/24/2017
33bProvider typeDentist
28Total paid$248K
24GClaims8,431
24DCodes billed12
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other Dentist providers in Minnesota
Rank by total paid#31 of 192
Median peer was paid$9K
This provider vs. median27×
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 | |
|---|---|---|---|
| 2019 | 2,318 | $70K | |
| 2020 | 1,193 | $29K | |
| 2021 | 1,495 | $36K | |
| 2022 | 1,397 | $41K | |
| 2023 | 1,239 | $40K | |
| 2024incomplete | 789 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 1,634 | 1,620 | $50K |
| D1206 | Topical application of fluoride varnish | 18% | 1,637 | 1,624 | $45K |
| D1110 | Prophylaxis - adult | 16% | 754 | 748 | $40K |
| D0274 | Bitewings - four radiographic images | 11% | 724 | 716 | $28K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.8% | 712 | 712 | $24K |
| D0220 | Intraoral - periapical first radiographic image | 7.1% | 1,118 | 1,092 | $18K |
| D9920 | 6.1% | 307 | 287 | $15K | |
| D0230 | Intraoral - periapical each additional radiographic image | 4.8% | 969 | 875 | $12K |
| D1330 | 4.7% | 440 | 440 | $12K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.1% | 86 | 86 | $3K |
| D0330 | Panoramic radiographic image | <1% | 28 | 28 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 22 | 22 | $532.95 |
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 officialVANDERPOEL, JENNIFER (PRESIDENT)