Clinic
PL Dental SC
PL Dental SC was paid $4.23M by Medicaid between Feb 2022 and Dec 2024, across 46 billing codes. Its largest line is D2720, — 16% of everything it billed.
33Billing provider infoPL DENTAL SC
ZIMMERMAN, MN 55398
ZIMMERMAN, MN 55398
33aNPI1225786411assigned 03/16/2022
33bProvider typeDental Clinic/Center
28Total paid$4.23M
24GClaims52,141
24DCodes billed46
24AFirst – last monthFeb 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#14 of 148
Median peer was paid$70K
This provider vs. median60×
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 | |
|---|---|---|---|
| 2022 | 6,126 | $451K | |
| 2023 | 18,702 | $1.37M | |
| 2024incomplete | 27,313 | $2.41M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2720 | 16% | 777 | 477 | $669K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 12% | 3,795 | 1,197 | $498K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.2% | 3,474 | 1,590 | $304K |
| D0330 | Panoramic radiographic image | 6.1% | 3,698 | 3,664 | $257K |
| D7140 | Extraction, erupted tooth or exposed root | 4.0% | 1,788 | 637 | $171K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 3,777 | 3,742 | $156K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 3.4% | 247 | 223 | $144K |
| D0274 | Bitewings - four radiographic images | 3.3% | 3,806 | 3,784 | $141K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.3% | 1,996 | 1,157 | $138K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.2% | 1,513 | 679 | $137K |
| D8670 | Periodic orthodontic treatment visit | 3.2% | 653 | 649 | $136K |
| D1110 | Prophylaxis - adult | 2.9% | 2,179 | 2,167 | $124K |
34 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.6% | 1,021 | $110K |
| D2331 | 2.5% | 1,005 | $105K | |
| D5110 | 2.2% | 96 | $95K | |
| D0140 | Limited oral evaluation - problem focused | 2.2% | 2,497 | $95K |
| D2950 | 2.2% | 592 | $94K | |
| D4341 | 2.0% | 455 | $83K | |
| D2160 | 1.9% | 714 | $78K | |
| D0120 | Dental checkup, returning patient | 1.4% | 1,834 | $59K |
| D2332 | 1.4% | 448 | $57K | |
| D5120 | 1.2% | 53 | $50K | |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 3,293 | $50K |
| D1120 | Dental cleaning, child | 1.2% | 1,252 | $49K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 4,458 | $49K |
| D6750 | <1% | 44 | $39K | |
| D4342 | <1% | 303 | $38K | |
| D5214 | <1% | 29 | $33K | |
| D2140 | <1% | 457 | $32K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,094 | $31K |
| D1206 | Topical application of fluoride varnish | <1% | 916 | $27K |
| D2740 | Crown - porcelain/ceramic | <1% | 51 | $26K |
| D3320 | <1% | 53 | $25K | |
| D2330 | <1% | 302 | $24K | |
| D4910 | <1% | 297 | $20K | |
| D1330 | <1% | 934 | $19K | |
| D2335 | <1% | 140 | $19K | |
| D0272 | Bitewings - two radiographic images | <1% | 531 | $15K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 505 | $10K |
| D0270 | <1% | 843 | $9K | |
| D2161 | <1% | 42 | $6K | |
| D2394 | <1% | 37 | $5K | |
| D1351 | Sealant - per tooth | <1% | 99 | $3K |
| D0340 | <1% | 13 | $1K | |
| D0273 | <1% | 15 | $591.69 | |
| D0460 | <1% | 15 | $22.17 |
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 officialLY, PHONG (OWNER)
| Provider | Location | Paid |
|---|---|---|
| PL Dental SC | Coon Rapids, MN | $627K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.