Immanuel Dental

Immanuel Dental was paid $54K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 42% of everything it billed.

33Billing provider infoIMMANUEL DENTAL
FARMINGTON, MN 55024

33aNPI1417070509assigned 04/06/2007

33bProvider typeDentist

28Total paid$54K

24GClaims1,920

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Dentist providers in Minnesota

Rank by total paid#59 of 192

Median peer was paid$9K

This provider vs. median5.9×

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	173	$83.82
2019	304	$7K
2020	281	$6K
2021	214	$5K
2022	163	$7K
2023	444	$16K
2024incomplete	341	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	42%	522	519	$23K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	38%	956	949	$21K
D1206	Topical application of fluoride varnish	6.3%	170	170	$3K
D0274	Bitewings - four radiographic images	5.2%	104	104	$3K
D0150	Comprehensive oral evaluation - new or established patient	4.5%	68	68	$2K
D1120	Dental cleaning, childProphylaxis - child	2.7%	73	73	$1K
D0220	Intraoral - periapical first radiographic image	<1%	12	12	$176.35
D0272	Bitewings - two radiographic images	<1%	15	15	$152.88

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 officialDUNGY, LINDEN (C.E.O.)