Lone Oak Family Dentistry

Lone Oak Family Dentistry was paid $49K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 39% of everything it billed.

33Billing provider infoLONE OAK FAMILY DENTISTRY
WARREN, MN 56762

33aNPI1447583778assigned 09/18/2009

33bProvider typeExclusive Provider Organization

28Total paid$49K

24GClaims1,713

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Exclusive Provider Organization providers in Minnesota

Rank by total paid#11 of 12

Median peer was paid$3.02M

This provider vs. median0.0×

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	208	$0.00
2019	109	$2K
2020	142	$1K
2021	139	$2K
2022	424	$16K
2023	437	$17K
2024incomplete	254	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	39%	696	689	$19K
D1110	Prophylaxis - adult	31%	304	301	$15K
D1206	Topical application of fluoride varnish	25%	517	517	$12K
D0274	Bitewings - four radiographic images	2.7%	29	29	$1K
D1120	Dental cleaning, childProphylaxis - child	2.6%	37	37	$1K
D1999		0%	130	121	$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 officialHANEL, TRAVIS (OWNER)

Parent organizationKITTSON DENTAL CLINIC, PA