Dental
Grand Dental Center
Grand Dental Center was paid $122K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 43% of everything it billed.
33Billing provider infoGRAND DENTAL CENTER
GRAND RAPIDS, MN 55744
GRAND RAPIDS, MN 55744
33aNPI1457644049assigned 05/16/2011
33bProvider typeDentist
28Total paid$122K
24GClaims3,512
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in Minnesota
Rank by total paid#41 of 192
Median peer was paid$9K
This provider vs. median13×
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 | 888 | $2K | |
| 2019 | 540 | $23K | |
| 2020 | 384 | $16K | |
| 2021 | 449 | $24K | |
| 2022 | 633 | $30K | |
| 2023 | 394 | $18K | |
| 2024incomplete | 224 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 43% | 1,409 | 1,399 | $52K |
| D1110 | Prophylaxis - adult | 18% | 380 | 376 | $22K |
| D1206 | Topical application of fluoride varnish | 17% | 934 | 928 | $21K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 403 | 402 | $21K |
| D0274 | Bitewings - four radiographic images | 2.0% | 87 | 86 | $2K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.9% | 17 | 14 | $2K |
| D9986 | <1% | 26 | 24 | $520.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 12 | 12 | $306.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 166 | 48 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 13 | 13 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 65 | 54 | $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 officialJOHNSON, LISA (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Independence Center, INC. | Waukegan, IL | $5.19M |
| Pro PT, INC. | Brookings, SD | $92K |
| Medelite Urgent Care L.L.C. | Lincoln, NE | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.