Dental
Group Health Plan, INC
Group Health Plan, INC was paid $706K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is D1110, Prophylaxis - adult — 16% of everything it billed.
33Billing provider infoGROUP HEALTH PLAN, INC
EDEN PRAIRIE, MN 55344
EDEN PRAIRIE, MN 55344
33aNPI1164959938assigned 05/11/2017
33bProvider typeEndodontist
28Total paid$706K
24GClaims18,939
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Endodontist providers in Minnesota
Rank by total paid#5 of 14
Median peer was paid$237K
This provider vs. median3.0×
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 | 4,015 | $35K | |
| 2019 | 4,741 | $239K | |
| 2020 | 3,857 | $166K | |
| 2021 | 3,505 | $151K | |
| 2022 | 1,331 | $53K | |
| 2023 | 940 | $39K | |
| 2024incomplete | 550 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 16% | 2,445 | 2,428 | $115K |
| D1206 | Topical application of fluoride varnish | 11% | 2,948 | 2,932 | $76K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 2,247 | 2,233 | $75K |
| D0140 | Limited oral evaluation - problem focused | 9.0% | 2,034 | 1,938 | $63K |
| D0330 | Panoramic radiographic image | 8.9% | 1,160 | 1,155 | $62K |
| D0274 | Bitewings - four radiographic images | 8.7% | 1,944 | 1,935 | $62K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.3% | 749 | 499 | $58K |
| D7140 | Extraction, erupted tooth or exposed root | 7.9% | 662 | 331 | $56K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 1,426 | 1,418 | $37K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.3% | 866 | 865 | $30K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.7% | 276 | 117 | $26K |
| D7230 | 1.7% | 71 | 36 | $12K |
7 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 856 | $10K |
| D0272 | Bitewings - two radiographic images | 1.3% | 276 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 207 | $9K |
| D1351 | Sealant - per tooth | <1% | 129 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 62 | $320.92 |
| D1999 | <1% | 495 | $20.00 | |
| D9995 | 0% | 86 | $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 officialGESKO, DAVID (SENIOR VP/DENTAL DIRECTION)
| 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 | Plymouth, MN | $648K |
| Group Health Plan, INC. | Lake Elmo, MN | $302K |
| 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.