David E Andersen DDS PA

David E Andersen DDS PA was paid $7K by Medicaid between Jan 2018 and Feb 2020, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 60% of everything it billed.

33Billing provider infoDAVID E ANDERSEN DDS PA
PARK RAPIDS, MN 56470

33aNPI1346365095assigned 03/20/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$7K

24GClaims366

24DCodes billed4

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other General Practice Dentistry providers in Minnesota

Rank by total paid#229 of 368

Median peer was paid$19K

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	128	$398.61
2019	209	$6K
2020	29	$783.42

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	60%	242	239	$4K
D1110	Prophylaxis - adult	26%	57	56	$2K
D1120	Dental cleaning, childProphylaxis - child	11%	42	42	$783.78
D1208	Topical application of fluoride, excluding varnish	3.0%	25	25	$204.39

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 officialANDERSEN, DAVID (DENTIST OWNER)