Dental
Minnetonka Dental Partners LLC
Minnetonka Dental Partners LLC was paid $167K by Medicaid between May 2018 and Aug 2023, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.
33Billing provider infoMINNETONKA DENTAL PARTNERS LLC
MINNETONKA, MN 55345
MINNETONKA, MN 55345
33aNPI1447659495assigned 08/15/2014
33bProvider typeDentist
28Total paid$167K
24GClaims6,739
24DCodes billed12
24AFirst – last monthMay 2018 – Aug 2023
Compared with peers
Next to other Dentist providers in Minnesota
Rank by total paid#37 of 192
Median peer was paid$9K
This provider vs. median18×
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 | 1,389 | $0.00 | |
| 2019 | 91 | $2K | |
| 2020 | 1,450 | $33K | |
| 2021 | 1,838 | $45K | |
| 2022 | 1,349 | $60K | |
| 2023 | 622 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 34% | 1,486 | 1,483 | $57K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 1,655 | 1,649 | $36K |
| D0274 | Bitewings - four radiographic images | 17% | 1,095 | 1,091 | $29K |
| D0330 | Panoramic radiographic image | 8.6% | 359 | 358 | $14K |
| D1206 | Topical application of fluoride varnish | 5.9% | 725 | 725 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.5% | 360 | 360 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 370 | 369 | $6K |
| D0140 | Limited oral evaluation - problem focused | 2.4% | 140 | 133 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 303 | 284 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 112 | 53 | $0.00 |
| D1999 | 0% | 88 | 69 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 46 | 27 | $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 officialRIZKALLA, GEORGE (OWNER)