Clinic
Minnetonka Dental, P.L.L.C
Minnetonka Dental, P.L.L.C was paid $98K by Medicaid between Sep 2023 and Dec 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.
33Billing provider infoMINNETONKA DENTAL, P.L.L.C
MINNETONKA, MN 55345
MINNETONKA, MN 55345
33aNPI1477233955assigned 07/20/2023
33bProvider typeDental Clinic/Center
28Total paid$98K
24GClaims2,033
24DCodes billed12
24AFirst – last monthSep 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#71 of 148
Median peer was paid$70K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2023 | 307 | $13K | |
| 2024incomplete | 1,726 | $86K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 25% | 430 | 428 | $25K |
| D2722 | 21% | 23 | 12 | $20K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 479 | 478 | $16K |
| D0274 | Bitewings - four radiographic images | 11% | 284 | 284 | $11K |
| D0330 | Panoramic radiographic image | 6.2% | 90 | 90 | $6K |
| D1206 | Topical application of fluoride varnish | 5.1% | 170 | 170 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 102 | 102 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.0% | 74 | 74 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 2.9% | 179 | 171 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.3% | 24 | 12 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 164 | 103 | $2K |
| D1330 | <1% | 14 | 14 | $474.60 |
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 officialMANN, COURTNEY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Chaska Family Dental, P.L.L.C. | Chaska, MN | $257K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.