Dental
Prairie Dental Centers PA
Prairie Dental Centers PA was paid $3.03M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 30% of everything it billed.
33Billing provider infoPRAIRIE DENTAL CENTERS PA
ADA, MN 56510
ADA, MN 56510
33aNPI1447310636assigned 12/11/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$3.03M
24GClaims43,593
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#26 of 368
Median peer was paid$19K
This provider vs. median158×
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 | 8,480 | $71K | |
| 2019 | 6,845 | $514K | |
| 2020 | 5,979 | $512K | |
| 2021 | 9,034 | $767K | |
| 2022 | 6,737 | $619K | |
| 2023 | 4,233 | $357K | |
| 2024incomplete | 2,285 | $188K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 30% | 7,600 | 2,534 | $899K |
| D1110 | Prophylaxis - adult | 12% | 5,112 | 5,064 | $362K |
| D8670 | Periodic orthodontic treatment visit | 11% | 1,464 | 1,464 | $341K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 10% | 2,375 | 1,635 | $310K |
| D2140 | 4.8% | 1,645 | 1,161 | $145K | |
| D0274 | Bitewings - four radiographic images | 4.1% | 2,940 | 2,909 | $125K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.1% | 4,919 | 4,875 | $123K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.1% | 2,083 | 2,067 | $94K |
| D2331 | 3.0% | 550 | 376 | $92K | |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 3,864 | 3,756 | $91K |
| D2160 | 2.6% | 519 | 413 | $80K | |
| D9239 | 2.1% | 282 | 277 | $64K |
15 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 3,930 | $54K |
| D7230 | 1.6% | 167 | $49K | |
| D1208 | Topical application of fluoride, excluding varnish | 1.6% | 3,162 | $48K |
| D2330 | 1.2% | 359 | $35K | |
| D9243 | 1.1% | 683 | $32K | |
| D0272 | Bitewings - two radiographic images | <1% | 906 | $28K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 174 | $18K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 46 | $11K |
| D7240 | Removal of impacted tooth - completely bony | <1% | 28 | $11K |
| D1351 | Sealant - per tooth | <1% | 517 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 14 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 200 | $3K |
| D0330 | Panoramic radiographic image | <1% | 12 | $1K |
| D2332 | <1% | 19 | $173.80 | |
| D7220 | 0% | 23 | $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 officialRESNICK, DAVID (CFO)