Clinic
Distinctive Dental Services, PA
Distinctive Dental Services, PA was paid $51K by Medicaid between Feb 2018 and May 2023, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 45% of everything it billed.
33Billing provider infoDISTINCTIVE DENTAL SERVICES, PA
WINSTED, MN 55395
WINSTED, MN 55395
33aNPI1457571952assigned 04/26/2007
33bProvider typeDental Clinic/Center
28Total paid$51K
24GClaims1,751
24DCodes billed7
24AFirst – last monthFeb 2018 – May 2023
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#79 of 148
Median peer was paid$70K
This provider vs. median0.7×
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 | 339 | $3K | |
| 2019 | 317 | $10K | |
| 2020 | 275 | $7K | |
| 2021 | 411 | $10K | |
| 2022 | 333 | $18K | |
| 2023 | 76 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 45% | 519 | 517 | $23K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 38% | 774 | 767 | $20K |
| D0274 | Bitewings - four radiographic images | 12% | 188 | 188 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.3% | 27 | 27 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 1.7% | 28 | 28 | $863.52 |
| D1999 | 0% | 194 | 181 | $0.00 | |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 21 | 20 | $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 officialTHOENNES, MICHAEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Distinctive Dental Services PA | Hilltop, MN | $153K |
| Distinctive Dental Services, PA | Howard Lake, MN | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.