Dental
Modern Dental Professionals, Minnesota PC
Modern Dental Professionals, Minnesota PC was paid $4K by Medicaid between Jul 2020 and Feb 2024, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 47% of everything it billed.
33Billing provider infoMODERN DENTAL PROFESSIONALS, MINNESOTA PC
FARIBAULT, MN 55021
FARIBAULT, MN 55021
33aNPI1427298637assigned 02/27/2009
33bProvider typeDentist
28Total paid$4K
24GClaims417
24DCodes billed4
24AFirst – last monthJul 2020 – Feb 2024
Compared with peers
Next to other Dentist providers in Minnesota
Rank by total paid#122 of 192
Median peer was paid$9K
This provider vs. median0.4×
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 | 211 | $829.73 | |
| 2021 | 76 | $763.71 | |
| 2022 | 48 | $908.80 | |
| 2023 | 68 | $1K | |
| 2024incomplete | 14 | $308.94 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 47% | 112 | 108 | $2K |
| D1110 | Prophylaxis - adult | 34% | 51 | 49 | $1K |
| D1206 | Topical application of fluoride varnish | 19% | 55 | 53 | $786.35 |
| D1999 | <1% | 199 | 124 | $5.56 |
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 officialPELKE, LORI (PROFESSIONAL SERVICES)