Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Koo, Minnie

Koo, Minnie was paid $333K by Medicaid between Jun 2023 and Apr 2024, across 17 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 36% of everything it billed.

33Billing provider infoKOO, MINNIE
MANSFIELD, TX 76063
33aNPI1225758253assigned 08/30/2022
33bProvider typeDentist
28Total paid$333K
24GClaims8,882
24DCodes billed17
24AFirst – last monthJun 2023 – Apr 2024
Compared with peers

Next to other Dentist providers in Texas

Rank by total paid#409 of 1,678
Median peer was paid$35K
This provider vs. median9.6×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20234,737$176K
2024incomplete4,145$157K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 36% 1,188 354 $118K
D2391 Resin-based composite - one surface, posterior, primary or permanent 18% 767 251 $60K
D0145 Oral evaluation for a patient under three years of age 6.4% 155 154 $21K
D1120 Dental cleaning, childProphylaxis - child 5.6% 506 505 $18K
D0230 Intraoral - periapical each additional radiographic image 5.3% 1,536 592 $17K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 5.2% 605 604 $17K
D1351 Sealant - per tooth 4.2% 517 159 $14K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3.8% 473 467 $13K
D1208 Topical application of fluoride, excluding varnish 3.1% 698 696 $10K
D1110 Prophylaxis - adult 2.7% 168 167 $9K
D0274 Bitewings - four radiographic images 2.5% 248 246 $8K
D0210 Intraoral - complete series of radiographic images 2.5% 119 119 $8K
5 more codes
D0220 Intraoral - periapical first radiographic image 2.3% 617 $8K
D0272 Bitewings - two radiographic images 1.4% 194 $5K
D0150 Comprehensive oral evaluation - new or established patient 1.3% 128 $4K
D1330 <1% 27 $306.25
D0603 0% 936 $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.