NPI: 1275688632 · WHITE BEAR LAKE, MN 55110 · General Practice Dentistry · NPI assigned 01/24/2007
Authorized official COONEY, KATHLEEN controls 14+ related entities in our dataset. Read more
| Authorized Official | COONEY, KATHLEEN (CAO) |
| NPI Enumeration Date | 01/24/2007 |
Other providers sharing the same authorized official: COONEY, KATHLEEN
| Provider | City | State | Total Paid |
|---|---|---|---|
| GROUP HEALTH PLAN INC | SAINT PAUL | MN | $3.14M |
| GROUP HEALTH PLAN INC | SAINT PAUL | MN | $1.78M |
| GROUP HEALTH PLAN INC | MAPLEWOOD | MN | $1.64M |
| GROUP HEALTH PLAN INC | SAINT PAUL | MN | $1.57M |
| GROUP HEALTH PLAN INC | BROOKLYN CENTER | MN | $1.54M |
| GROUP HEALTH PLAN | APPLE VALLEY | MN | $1.35M |
| GROUP HEALTH PLAN INC | BLOOMINGTON | MN | $1.29M |
| GROUP HEALTH PLAN INC | COON RAPIDS | MN | $1.17M |
| GROUP HEALTH PLAN INC | WOODBURY | MN | $938K |
| GROUP HEALTH PLAN INC | BLAINE | MN | $630K |
| GROUP HEALTH PLAN INC | INVER GROVE | MN | $621K |
| GROUP HEALTH PLAN | ARDEN HILLS | MN | $555K |
| GROUP HEALTH PLAN INC | ST LOUIS PARK | MN | $530K |
| GROUP HEALTH PLAN INC | MINNEAPOLIS | MN | $471K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,770 | $18K |
| 2019 | 4,025 | $167K |
| 2020 | 2,373 | $86K |
| 2021 | 4,728 | $198K |
| 2022 | 2,714 | $107K |
| 2023 | 2,399 | $94K |
| 2024 | 1,619 | $68K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 3,308 | 3,274 | $162K |
| D0120 | Periodic oral evaluation - established patient | 4,108 | 4,072 | $127K |
| D0274 | Bitewings - four radiographic images | 2,771 | 2,740 | $96K |
| D1206 | Topical application of fluoride varnish | 3,483 | 3,452 | $93K |
| D0330 | Panoramic radiographic image | 1,074 | 1,056 | $63K |
| D0140 | Limited oral evaluation - problem focused | 1,807 | 1,753 | $58K |
| D1120 | Prophylaxis - child | 1,314 | 1,306 | $42K |
| D0150 | Comprehensive oral evaluation - new or established patient | 939 | 931 | $27K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 266 | 177 | $24K |
| D0220 | Intraoral - periapical first radiographic image | 1,536 | 1,505 | $18K |
| D0272 | Bitewings - two radiographic images | 515 | 515 | $14K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 64 | 40 | $4K |
| D1351 | Sealant - per tooth | 114 | 28 | $4K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 75 | 49 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 17 | 13 | $2K |
| D2940 | 20 | 17 | $874.31 | |
| D1999 | 217 | 185 | $0.00 |