Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GROUP HEALTH PLAN INC

NPI: 1275688632 · WHITE BEAR LAKE, MN 55110 · General Practice Dentistry · NPI assigned 01/24/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COONEY, KATHLEEN controls 14+ related entities in our dataset. Read more

$739K
Total Medicaid Paid
21,628
Total Claims
21,113
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOONEY, KATHLEEN (CAO)
NPI Enumeration Date01/24/2007

Related Entities

Other providers sharing the same authorized official: COONEY, KATHLEEN

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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