Dental
Southdale Dental Associates
Southdale Dental Associates was paid $2K by Medicaid between Mar 2018 and Nov 2023, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 91% of everything it billed.
33Billing provider infoSOUTHDALE DENTAL ASSOCIATES
EDINA, MN 55435
EDINA, MN 55435
33aNPI1285691220assigned 04/26/2006
33bProvider typeDentist
28Total paid$2K
24GClaims101
24DCodes billed3
24AFirst – last monthMar 2018 – Nov 2023
Compared with peers
Next to other Dentist providers in Minnesota
Rank by total paid#141 of 192
Median peer was paid$9K
This provider vs. median0.2×
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 | 25 | $497.64 | |
| 2019 | 12 | $340.68 | |
| 2020 | 13 | $0.00 | |
| 2021 | 26 | $340.08 | |
| 2023 | 25 | $586.74 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 91% | 50 | 49 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.9% | 12 | 12 | $156.96 |
| D9985 | 0% | 39 | 37 | $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 officialRAYMOND, JAMES (PRESIDENT PARTNER)