Dakota Valley Oral and Maxillofacial Surgery, PLLC

Dakota Valley Oral and Maxillofacial Surgery, PLLC was paid $201K by Medicaid between Jan 2018 and Apr 2023, across 6 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 37% of everything it billed.

33Billing provider infoDAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY, PLLC
SAINT PAUL, MN 55122

33aNPI1366568206assigned 03/22/2007

33bProvider typeOral and Maxillofacial Surgery (Dentist)

28Total paid$201K

24GClaims1,986

24DCodes billed6

24AFirst – last monthJan 2018 – Apr 2023

Compared with peers

Next to other Oral and Maxillofacial Surgery (Dentist) providers in Minnesota

Rank by total paid#11 of 22

Median peer was paid$91K

This provider vs. median2.2×

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	271	$2K
2019	192	$15K
2020	393	$29K
2021	687	$96K
2022	416	$56K
2023	27	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	37%	1,163	1,140	$73K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	30%	238	148	$60K
D7140	Extraction, erupted tooth or exposed root	28%	363	142	$56K
D9222		3.0%	38	36	$6K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	2.6%	39	36	$5K
D1999		<1%	145	141	$10.04

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 officialHARTMANN, MICHELLE (CLINIC MANAGER)