Byron Dental Group PA

Byron Dental Group PA was paid $61K by Medicaid between Jan 2019 and Oct 2024, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 39% of everything it billed.

33Billing provider infoBYRON DENTAL GROUP PA
BYRON, MN 55920

33aNPI1477888949assigned 10/16/2009

33bProvider typeDentist

28Total paid$61K

24GClaims1,904

24DCodes billed9

24AFirst – last monthJan 2019 – Oct 2024

Compared with peers

Next to other Dentist providers in Minnesota

Rank by total paid#55 of 192

Median peer was paid$9K

This provider vs. median6.6×

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
2019	72	$2K
2020	242	$6K
2021	452	$12K
2022	496	$20K
2023	337	$11K
2024incomplete	305	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	39%	821	820	$23K
D1110	Prophylaxis - adult	30%	401	400	$18K
D1206	Topical application of fluoride varnish	14%	359	358	$8K
D0274	Bitewings - four radiographic images	7.3%	137	137	$4K
D1120	Dental cleaning, childProphylaxis - child	6.8%	115	114	$4K
D0330	Panoramic radiographic image	1.9%	18	17	$1K
D0150	Comprehensive oral evaluation - new or established patient	1.1%	26	26	$653.92
D0140	Limited oral evaluation - problem focused	<1%	14	14	$337.03
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	<1%	13	12	$145.40

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 officialSTACKHOUSE, LORI (OFFICE MANAGER)