Dental
ST. Croix Kidds Pediatric Dentistry
ST. Croix Kidds Pediatric Dentistry was paid $122K by Medicaid between Sep 2020 and Dec 2024, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 38% of everything it billed.
33Billing provider infoST. CROIX KIDDS PEDIATRIC DENTISTRY
WHITE BEAR LAKE, MN 55110
WHITE BEAR LAKE, MN 55110
33aNPI1407131618assigned 10/19/2011
33bProvider typePediatric Dentist
28Total paid$122K
24GClaims6,117
24DCodes billed8
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Minnesota
Rank by total paid#24 of 49
Median peer was paid$94K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2020 | 378 | $0.00 | |
| 2023 | 2,013 | $39K | |
| 2024incomplete | 3,726 | $83K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 38% | 1,778 | 1,653 | $46K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 1,739 | 1,615 | $33K |
| D1206 | Topical application of fluoride varnish | 20% | 1,637 | 1,513 | $24K |
| D0272 | Bitewings - two radiographic images | 7.4% | 559 | 525 | $9K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.8% | 245 | 198 | $7K |
| D1351 | Sealant - per tooth | 1.8% | 92 | 26 | $2K |
| D0330 | Panoramic radiographic image | <1% | 22 | 14 | $736.75 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 45 | 41 | $161.56 |
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 officialRINDELAUB, DARCY (PEDIATRIC DENTIST)
| Provider | Location | Paid |
|---|---|---|
| New Richmond Kidds Pediatric Dentistry LLC | New Richmond, WI | $407K |
| Riverdale Pediatric Dentistry P.A. | Coon Rapids, MN | $16K |
| Blaine Kidds Pediatric Dentistry PLLC | Blaine, MN | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.