Dental
Maplewood Pediatric Dentistry PLLC
Maplewood Pediatric Dentistry PLLC was paid $263K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is D0120, dental checkup, returning patient — 31% of everything it billed.
33Billing provider infoMAPLEWOOD PEDIATRIC DENTISTRY PLLC
MAPLEWOOD, MN 55109
MAPLEWOOD, MN 55109
33aNPI1437496098assigned 01/15/2013
33bProvider typeDentist
28Total paid$263K
24GClaims11,801
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Minnesota
Rank by total paid#30 of 192
Median peer was paid$9K
This provider vs. median29×
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 | 751 | $4K | |
| 2019 | 622 | $11K | |
| 2020 | 1,329 | $16K | |
| 2021 | 2,012 | $27K | |
| 2022 | 1,741 | $50K | |
| 2023 | 2,741 | $76K | |
| 2024incomplete | 2,605 | $78K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 31% | 2,934 | 2,871 | $80K |
| D1120 | Dental cleaning, childProphylaxis - child | 28% | 2,591 | 2,540 | $73K |
| D1206 | Topical application of fluoride varnish | 27% | 3,664 | 3,573 | $71K |
| D0272 | Bitewings - two radiographic images | 6.8% | 677 | 666 | $18K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.4% | 477 | 418 | $6K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 67 | 65 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 147 | 142 | $3K |
| D1110 | Prophylaxis - adult | <1% | 54 | 52 | $2K |
| D1351 | Sealant - per tooth | <1% | 116 | 38 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 30 | 12 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 46 | 25 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 23 | 12 | $714.47 |
1 more codes
| D1999 | <1% | 975 | $115.09 |
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 officialMIELKE, CLAIRE (PEDIATRIC DENTIST)