Molldrem Family Dentistry

Molldrem Family Dentistry was paid $1K by Medicaid between Oct 2022 and Oct 2022, across 2 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 60% of everything it billed.

33Billing provider infoMOLLDREM FAMILY DENTISTRY
EDEN PRAIRIE, MN 55344

33aNPI1326173279assigned 02/22/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$1K

24GClaims27

24DCodes billed2

24AFirst – last monthOct 2022 – Oct 2022

Compared with peers

Next to other General Practice Dentistry providers in Minnesota

Rank by total paid#296 of 368

Median peer was paid$19K

This provider vs. median0.1×

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
2022	27	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	60%	15	15	$605.83
D0274	Bitewings - four radiographic images	40%	12	12	$397.15

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 officialMOLLDREM, KEVIN (OWNER)