Clinic
Daniel Brengman DDS, PA
Daniel Brengman DDS, PA was paid $18K by Medicaid between Apr 2018 and Sep 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 43% of everything it billed.
33Billing provider infoDANIEL BRENGMAN DDS, PA
EAGAN, MN 55122
EAGAN, MN 55122
33aNPI1306051230assigned 05/14/2007
33bProvider typeDental Clinic/Center
28Total paid$18K
24GClaims1,481
24DCodes billed9
24AFirst – last monthApr 2018 – Sep 2024
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#92 of 148
Median peer was paid$70K
This provider vs. median0.3×
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 | 236 | $0.00 | |
| 2019 | 119 | $3K | |
| 2020 | 351 | $5K | |
| 2021 | 697 | $8K | |
| 2022 | 24 | $815.82 | |
| 2023 | 40 | $1K | |
| 2024incomplete | 14 | $436.38 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 43% | 343 | 338 | $8K |
| D0274 | Bitewings - four radiographic images | 24% | 280 | 279 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 161 | 152 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.9% | 128 | 126 | $1K |
| D0330 | Panoramic radiographic image | 3.2% | 28 | 28 | $580.11 |
| D1208 | Topical application of fluoride, excluding varnish | 2.3% | 27 | 27 | $416.88 |
| D0350 | <1% | 12 | 12 | $142.00 | |
| D1330 | <1% | 12 | 12 | $85.45 | |
| D1999 | 0% | 490 | 413 | $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 officialBRENGMAN, DANIEL (OWNER -PRESIDENT)