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

Mynt Dental Racine LLC

Mynt Dental Racine LLC was paid $4.23M by Medicaid between Nov 2018 and Dec 2024, across 30 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.

33Billing provider infoMYNT DENTAL RACINE LLC
MOUNT PLEASANT, WI 53406
33aNPI1235628454assigned 05/03/2018
33bProvider typeDentist
28Total paid$4.23M
24GClaims108,216
24DCodes billed30
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers

Next to other Dentist providers in Wisconsin

Rank by total paid#5 of 185
Median peer was paid$28K
This provider vs. median151×

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$50K$100K$150K2018201920202021202220232024
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
2018456$12K
20199,804$433K
202012,745$469K
202119,288$742K
202222,490$887K
202323,371$934K
2024incomplete20,062$754K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 17% 8,867 4,579 $701K
D0330 Panoramic radiographic image 11% 7,835 7,223 $459K
D7140 Extraction, erupted tooth or exposed root 8.6% 4,612 2,223 $365K
D1110 Prophylaxis - adult 7.4% 9,527 8,860 $314K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 7.1% 2,200 1,360 $302K
D0150 Comprehensive oral evaluation - new or established patient 5.9% 8,945 8,149 $249K
D1120 Dental cleaning, childProphylaxis - child 5.7% 7,445 6,933 $243K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 4.8% 2,223 1,517 $204K
D1351 Sealant - per tooth 4.8% 7,800 1,949 $204K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 4.8% 9,334 8,770 $201K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4.5% 3,133 1,855 $188K
D1208 Topical application of fluoride, excluding varnish 3.6% 8,315 7,675 $151K
18 more codes
D0220 Intraoral - periapical first radiographic image 3.1% 9,231 $131K
D0274 Bitewings - four radiographic images 2.7% 4,812 $114K
D0272 Bitewings - two radiographic images 1.7% 2,896 $71K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1.6% 1,881 $67K
D0140 Limited oral evaluation - problem focused 1.3% 1,532 $55K
D2930 Prefabricated stainless steel crown - primary tooth 1.2% 413 $52K
D0230 Intraoral - periapical each additional radiographic image <1% 3,673 $39K
D1206 Topical application of fluoride varnish <1% 1,532 $37K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 412 $32K
D0210 Intraoral - complete series of radiographic images <1% 831 $29K
D2331 <1% 106 $8K
D2332 <1% 90 $7K
D2330 <1% 93 $4K
D4341 <1% 33 $2K
D2394 <1% 13 $2K
D0470 <1% 12 $387.84
D0270 <1% 14 $63.71
D1999 0% 406 $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 officialMOLAVI, SASAN (PRESIDENT / OWNER)
Same official

Other billing entities under MOLAVI, SASAN

Full network →
ProviderLocationPaid
Alpina Dental MP LLCMount Pleasant, WI$7K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.