Dental
Mounds View Family Dental
Mounds View Family Dental was paid $416K by Medicaid between Jan 2018 and Feb 2024, across 18 billing codes. Its largest line is D0330, Panoramic radiographic image — 16% of everything it billed.
33Billing provider infoMOUNDS VIEW FAMILY DENTAL
MOUNDS VIEW, MN 55112
MOUNDS VIEW, MN 55112
33aNPI1205069358assigned 08/24/2009
33bProvider typeDental Hygienist
28Total paid$416K
24GClaims16,848
24DCodes billed18
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Dental Hygienist providers in Minnesota
Rank by total paid#3 of 9
Median peer was paid$157K
This provider vs. median2.6×
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 | 3,113 | $4K | |
| 2019 | 3,434 | $86K | |
| 2020 | 2,865 | $68K | |
| 2021 | 2,769 | $69K | |
| 2022 | 2,347 | $96K | |
| 2023 | 2,089 | $83K | |
| 2024incomplete | 231 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 16% | 1,279 | 1,264 | $67K |
| D1206 | Topical application of fluoride varnish | 13% | 3,094 | 3,070 | $54K |
| D1110 | Prophylaxis - adult | 11% | 1,433 | 1,423 | $46K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 2,223 | 2,216 | $45K |
| D0350 | 10% | 1,283 | 1,246 | $43K | |
| D0274 | Bitewings - four radiographic images | 8.6% | 1,523 | 1,520 | $36K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.2% | 1,410 | 1,403 | $34K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.8% | 906 | 905 | $28K |
| D1330 | 3.8% | 1,202 | 1,173 | $16K | |
| D0272 | Bitewings - two radiographic images | 3.2% | 607 | 602 | $13K |
| D0140 | Limited oral evaluation - problem focused | 2.8% | 583 | 554 | $12K |
| D1351 | Sealant - per tooth | 2.6% | 639 | 155 | $11K |
6 more codes
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 officialSHARARA, SABRY (OWNER/PRESIDENT)