Dental
Metropolitan Pediatric Dental Associates, LTD
Metropolitan Pediatric Dental Associates, LTD was paid $4.74M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D0120, dental checkup, returning patient — 21% of everything it billed.
33Billing provider infoMETROPOLITAN PEDIATRIC DENTAL ASSOCIATES, LTD
SAINT PAUL, MN 55108
SAINT PAUL, MN 55108
33aNPI1245389246assigned 01/09/2007
33bProvider typePediatric Dentist
28Total paid$4.74M
24GClaims153,523
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Minnesota
Rank by total paid#7 of 49
Median peer was paid$94K
This provider vs. median51×
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 | 35,301 | $205K | |
| 2019 | 31,708 | $1.11M | |
| 2020 | 20,993 | $740K | |
| 2021 | 22,779 | $804K | |
| 2022 | 17,528 | $832K | |
| 2023 | 13,228 | $556K | |
| 2024incomplete | 11,986 | $492K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 32,702 | 32,474 | $1.00M |
| D1206 | Topical application of fluoride varnish | 16% | 30,593 | 30,367 | $742K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 24,286 | 24,114 | $705K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 9.5% | 5,129 | 1,477 | $452K |
| D1110 | Prophylaxis - adult | 8.4% | 8,759 | 8,695 | $399K |
| D0272 | Bitewings - two radiographic images | 7.6% | 14,629 | 14,516 | $361K |
| D0274 | Bitewings - four radiographic images | 4.0% | 5,028 | 5,001 | $191K |
| D1351 | Sealant - per tooth | 3.9% | 6,909 | 1,734 | $184K |
| D7140 | Extraction, erupted tooth or exposed root | 3.7% | 2,891 | 1,657 | $175K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.2% | 7,662 | 7,182 | $106K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.2% | 1,310 | 893 | $106K |
| D0330 | Panoramic radiographic image | 1.6% | 1,140 | 1,130 | $75K |
13 more codes
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.3% | 1,321 | $59K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,022 | $42K |
| D0140 | Limited oral evaluation - problem focused | <1% | 840 | $28K |
| D2140 | <1% | 852 | $28K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,081 | $27K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 432 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,365 | $14K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 523 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 2,503 | $6K |
| D9420 | <1% | 406 | $5K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 13 | $473.55 |
| D1354 | <1% | 15 | $384.30 | |
| D2330 | 0% | 112 | $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 officialNICKMAN, JAMES (PRESIDENT)
Parent organizationMETROPOLITAN PEDIATRIC DENTAL ASSOCIATES, LTD
| Provider | Location | Paid |
|---|---|---|
| Metropolitan Pediatric Dental Associates, LTD | Eagan, MN | $494K |
| Metropolitan Pediatric Dental Associates, LTD | North Oaks, MN | $315K |
| Wesclare Corporation | Lemont Furnace, PA | $606.52 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.