Clinic
ST. Paul Pediatric Dentistry, PC
ST. Paul Pediatric Dentistry, PC was paid $23K by Medicaid between Jul 2019 and Aug 2024, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 35% of everything it billed.
33Billing provider infoST. PAUL PEDIATRIC DENTISTRY, PC
SAINT PAUL, MN 55106
SAINT PAUL, MN 55106
33aNPI1386943876assigned 03/23/2011
33bProvider typeDental Clinic/Center
28Total paid$23K
24GClaims2,088
24DCodes billed9
24AFirst – last monthJul 2019 – Aug 2024
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#89 of 148
Median peer was paid$70K
This provider vs. median0.3×
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 | 541 | $10K | |
| 2020 | 912 | $10K | |
| 2021 | 282 | $719.49 | |
| 2022 | 247 | $2K | |
| 2023 | 51 | $209.09 | |
| 2024incomplete | 55 | $583.99 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 35% | 577 | 555 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 29% | 414 | 405 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 27% | 617 | 582 | $6K |
| D0272 | Bitewings - two radiographic images | 4.9% | 66 | 65 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.0% | 90 | 81 | $682.67 |
| D1354 | <1% | 31 | 12 | $93.20 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 13 | 13 | $39.30 |
| D1999 | 0% | 266 | 204 | $0.00 | |
| D0190 | 0% | 14 | 12 | $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 officialHAMAN, JULIE (PRESIDENT)