Dental
Grove Dentist PA
Grove Dentist PA was paid $95K by Medicaid between Jan 2018 and Jul 2019, across 20 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 18% of everything it billed.
33Billing provider infoGROVE DENTIST PA
MAPLE GROVE, MN 55311
MAPLE GROVE, MN 55311
33aNPI1326481284assigned 04/10/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$95K
24GClaims12,794
24DCodes billed20
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#119 of 368
Median peer was paid$19K
This provider vs. median5.0×
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 | 9,586 | $17K | |
| 2019 | 3,208 | $78K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 18% | 1,097 | 404 | $17K |
| D1110 | Prophylaxis - adult | 15% | 1,119 | 1,111 | $14K |
| D1206 | Topical application of fluoride varnish | 9.4% | 1,368 | 1,360 | $9K |
| D0274 | Bitewings - four radiographic images | 9.0% | 989 | 983 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.3% | 1,097 | 1,091 | $8K |
| D9920 | 6.8% | 270 | 262 | $6K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.6% | 753 | 747 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.1% | 426 | 257 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.8% | 640 | 639 | $5K |
| D0330 | Panoramic radiographic image | 4.6% | 508 | 506 | $4K |
| D0140 | Limited oral evaluation - problem focused | 3.4% | 386 | 378 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 994 | 976 | $3K |
8 more codes
| D1330 | 2.0% | 548 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 891 | $2K |
| D2331 | 1.5% | 56 | $1K | |
| D0272 | Bitewings - two radiographic images | 1.3% | 133 | $1K |
| D1351 | Sealant - per tooth | <1% | 1,446 | $244.53 |
| D2330 | 0% | 17 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 20 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 36 | $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 officialCHACKO, RENY (DENTIST)