Dental
Modern Dental Professionals Minnesota PC
Modern Dental Professionals Minnesota PC was paid $45K by Medicaid between Jan 2019 and Sep 2020, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 33% of everything it billed.
33Billing provider infoMODERN DENTAL PROFESSIONALS MINNESOTA PC
WELLS, MN 56097
WELLS, MN 56097
33aNPI1316216377assigned 12/21/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$45K
24GClaims1,720
24DCodes billed9
24AFirst – last monthJan 2019 – Sep 2020
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#147 of 368
Median peer was paid$19K
This provider vs. median2.4×
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 | |
|---|---|---|---|
| 2019 | 1,025 | $30K | |
| 2020 | 695 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 33% | 369 | 365 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 483 | 479 | $12K |
| D0274 | Bitewings - four radiographic images | 14% | 201 | 198 | $6K |
| D1206 | Topical application of fluoride varnish | 11% | 259 | 256 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.5% | 146 | 146 | $4K |
| D0330 | Panoramic radiographic image | 3.9% | 32 | 30 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.3% | 27 | 13 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 13 | 12 | $133.09 |
| D1999 | 0% | 190 | 180 | $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 officialMOOS, JEFFREY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Merit Dental Michigan PC | Portage, MI | $161K |
| Merit Dental of Connecticut PC | Mondovi, WI | $16K |
| Modern Dental Professionals, MN PC | Eagan, MN | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.