Clinic
F.H. Russomanno JR., D.D.S.. P.A.,
F.H. Russomanno JR., D.D.S.. P.A., was paid $3K by Medicaid between Jul 2020 and Dec 2021, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 51% of everything it billed.
33Billing provider infoF.H. RUSSOMANNO JR., D.D.S.. P.A.,
OAKDALE, MN 55128
OAKDALE, MN 55128
33aNPI1447818422assigned 06/04/2019
33bProvider typeDental Clinic/Center
28Total paid$3K
24GClaims144
24DCodes billed2
24AFirst – last monthJul 2020 – Dec 2021
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#117 of 148
Median peer was paid$70K
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 | |
|---|---|---|---|
| 2020 | 65 | $2K | |
| 2021 | 79 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 51% | 50 | 50 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 49% | 94 | 94 | $2K |
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 officialJACOBSON, SAM (BUSINESS MANAGER)