Dental
Lakeshore Dental
Lakeshore Dental was paid $1.92M by Medicaid between Oct 2019 and Dec 2024, across 33 billing codes. Its largest line is D2722, — 14% of everything it billed.
33Billing provider infoLAKESHORE DENTAL
MINNEAPOLIS, MN 55407
MINNEAPOLIS, MN 55407
33aNPI1356801799assigned 03/21/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$1.92M
24GClaims33,107
24DCodes billed33
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#37 of 368
Median peer was paid$19K
This provider vs. median101×
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 | 678 | $30K | |
| 2020 | 3,983 | $102K | |
| 2021 | 3,967 | $110K | |
| 2022 | 6,453 | $293K | |
| 2023 | 9,435 | $455K | |
| 2024incomplete | 8,591 | $930K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2722 | 14% | 267 | 151 | $278K | |
| D0330 | Panoramic radiographic image | 12% | 3,299 | 3,238 | $236K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.0% | 4,302 | 4,254 | $173K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 8.4% | 1,049 | 368 | $160K |
| D0274 | Bitewings - four radiographic images | 7.7% | 3,945 | 3,886 | $148K |
| D4341 | 7.4% | 692 | 265 | $142K | |
| D1110 | Prophylaxis - adult | 4.1% | 1,347 | 1,332 | $78K |
| D2950 | 3.5% | 363 | 250 | $68K | |
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 5,978 | 2,995 | $61K |
| D1208 | Topical application of fluoride, excluding varnish | 2.9% | 1,895 | 1,874 | $55K |
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 3,590 | 3,512 | $53K |
| D6750 | 2.6% | 48 | 16 | $51K |
21 more codes
| D1120 | Dental cleaning, child | 2.5% | 1,168 | $48K |
| D2740 | Crown - porcelain/ceramic | 2.4% | 72 | $47K |
| D0140 | Limited oral evaluation - problem focused | 2.3% | 1,158 | $44K |
| D0120 | Dental checkup, returning patient | 2.2% | 1,279 | $42K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 2.2% | 63 | $42K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.0% | 350 | $38K |
| D6240 | 1.5% | 27 | $28K | |
| D1351 | Sealant - per tooth | 1.1% | 782 | $22K |
| D1330 | 1.1% | 646 | $21K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 138 | $15K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 119 | $13K |
| D5226 | <1% | 14 | $12K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 88 | $11K |
| D3320 | <1% | 18 | $10K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 88 | $7K |
| D7250 | <1% | 33 | $7K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 72 | $6K |
| D0272 | Bitewings - two radiographic images | <1% | 137 | $4K |
| D2160 | <1% | 21 | $3K | |
| D0270 | <1% | 37 | $312.72 | |
| D1999 | 0% | 22 | $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 officialALI, MOHAMED (OWNER)
| Provider | Location | Paid |
|---|---|---|
| 21ST Century Home Health Services LLC | Westerville, OH | $8.41M |
| Noble Health LLC | Springfield, VA | $2.26M |
| Bright Transportation LLC. | Dearborn, MI | $413K |
| Mohamed S Ali MD Professional Corporation | Rancho Cucamonga, CA | $70K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.