Dental
Community Dental Care INC
Community Dental Care INC was paid $30.70M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 9.7% of everything it billed.
33Billing provider infoCOMMUNITY DENTAL CARE INC
MAPLEWOOD, MN 55109
MAPLEWOOD, MN 55109
33aNPI1235311614assigned 11/28/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$30.70M
24GClaims796,499
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#2 of 368
Median peer was paid$19K
This provider vs. median1,608×
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 | 124,718 | $789K | |
| 2019 | 130,359 | $4.75M | |
| 2020 | 79,275 | $2.84M | |
| 2021 | 107,196 | $4.07M | |
| 2022 | 115,781 | $6.24M | |
| 2023 | 115,659 | $5.83M | |
| 2024incomplete | 123,511 | $6.18M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 9.7% | 35,196 | 18,785 | $2.97M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.3% | 32,596 | 20,939 | $2.54M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.2% | 69,119 | 68,605 | $2.20M |
| D1206 | Topical application of fluoride varnish | 6.6% | 80,680 | 80,027 | $2.03M |
| D1120 | Dental cleaning, childProphylaxis - child | 5.9% | 52,848 | 52,455 | $1.83M |
| D1110 | Prophylaxis - adult | 5.6% | 36,610 | 36,290 | $1.72M |
| D0330 | Panoramic radiographic image | 4.8% | 16,409 | 16,256 | $1.48M |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 86,056 | 83,924 | $1.31M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.2% | 8,649 | 3,064 | $1.27M |
| D0140 | Limited oral evaluation - problem focused | 4.0% | 35,956 | 34,932 | $1.22M |
| D0274 | Bitewings - four radiographic images | 3.9% | 33,242 | 32,966 | $1.18M |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 20,455 | 13,815 | $1.18M |
45 more codes
| D1330 | 3.5% | 40,480 | $1.06M | |
| D0230 | Intraoral - periapical each additional radiographic image | 2.9% | 75,921 | $890K |
| D1351 | Sealant - per tooth | 2.9% | 30,142 | $885K |
| D0272 | Bitewings - two radiographic images | 2.8% | 28,065 | $871K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 20,800 | $810K |
| D0240 | 2.5% | 25,506 | $759K | |
| D1354 | 2.1% | 20,803 | $645K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.4% | 5,101 | $415K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.1% | 3,488 | $351K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.1% | 4,105 | $325K |
| D2335 | <1% | 3,340 | $302K | |
| D5110 | <1% | 360 | $273K | |
| D2934 | <1% | 969 | $245K | |
| D4341 | <1% | 1,282 | $226K | |
| D2331 | <1% | 3,074 | $214K | |
| D2332 | <1% | 2,432 | $206K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 2,663 | $190K |
| D2160 | <1% | 1,744 | $176K | |
| D2330 | <1% | 2,890 | $155K | |
| D2140 | <1% | 2,101 | $121K | |
| D2161 | <1% | 777 | $96K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 2,977 | $94K |
| D5120 | <1% | 93 | $77K | |
| D1510 | <1% | 469 | $65K | |
| D3320 | <1% | 226 | $50K | |
| D2394 | <1% | 685 | $38K | |
| D5212 | <1% | 53 | $31K | |
| D9920 | <1% | 1,186 | $31K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 1,989 | $30K |
| D9110 | <1% | 1,009 | $30K | |
| D9420 | <1% | 1,175 | $27K | |
| D2940 | <1% | 407 | $18K | |
| D2950 | <1% | 192 | $17K | |
| D4910 | <1% | 279 | $12K | |
| D3310 | <1% | 31 | $10K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 244 | $9K |
| D4355 | <1% | 332 | $6K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 28 | $6K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 57 | $6K |
| D0273 | <1% | 100 | $3K | |
| D2931 | <1% | 15 | $2K | |
| D0270 | <1% | 55 | $660.83 | |
| D1515 | <1% | 22 | $270.53 | |
| D9985 | <1% | 990 | $70.13 | |
| D1999 | 0% | 26 | $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 officialPETERSON, VACHAREE (CEO)
| Provider | Location | Paid |
|---|---|---|
| 123 Brush Dental LLC | Maplewood, MN | $1.02M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.