Dental
Affiliated Pediatric Dentists PA
Affiliated Pediatric Dentists PA was paid $35K by Medicaid between Jan 2018 and Oct 2023, across 10 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 42% of everything it billed.
33Billing provider infoAFFILIATED PEDIATRIC DENTISTS PA
EDINA, MN 55435
EDINA, MN 55435
33aNPI1306853437assigned 08/02/2006
33bProvider typePediatric Dentist
28Total paid$35K
24GClaims2,239
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Pediatric Dentist providers in Minnesota
Rank by total paid#32 of 49
Median peer was paid$94K
This provider vs. median0.4×
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 | 484 | $8K | |
| 2019 | 732 | $11K | |
| 2020 | 218 | $3K | |
| 2021 | 419 | $7K | |
| 2022 | 360 | $6K | |
| 2023 | 26 | $230.92 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 42% | 854 | 828 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 353 | 344 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 332 | 326 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 229 | 38 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 37 | 36 | $934.33 |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 55 | 51 | $657.80 |
| D0272 | Bitewings - two radiographic images | 1.7% | 27 | 27 | $585.78 |
| D1999 | <1% | 76 | 76 | $34.08 | |
| D9985 | 0% | 246 | 236 | $0.00 | |
| D9420 | 0% | 30 | 26 | $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 officialKING, KURT (PRESIDENT)