Dental
Children's Dental of Winona, LLC
Children's Dental of Winona, LLC was paid $467K by Medicaid between Sep 2022 and Dec 2024, across 14 billing codes. Its largest line is D0120, dental checkup, returning patient — 26% of everything it billed.
33Billing provider infoCHILDREN'S DENTAL OF WINONA, LLC
WINONA, MN 55987
WINONA, MN 55987
33aNPI1487378261assigned 09/27/2022
33bProvider typePediatric Dentist
28Total paid$467K
24GClaims9,895
24DCodes billed14
24AFirst – last monthSep 2022 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Minnesota
Rank by total paid#16 of 49
Median peer was paid$94K
This provider vs. median5.0×
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 | |
|---|---|---|---|
| 2022 | 685 | $31K | |
| 2023 | 4,520 | $213K | |
| 2024incomplete | 4,690 | $223K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 2,547 | 2,546 | $120K |
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 2,091 | 2,088 | $96K |
| D1206 | Topical application of fluoride varnish | 19% | 2,565 | 2,560 | $90K |
| D1110 | Prophylaxis - adult | 9.6% | 671 | 671 | $45K |
| D0272 | Bitewings - two radiographic images | 7.5% | 832 | 830 | $35K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.8% | 158 | 80 | $27K |
| D1351 | Sealant - per tooth | 4.0% | 451 | 133 | $19K |
| D0330 | Panoramic radiographic image | 2.8% | 114 | 114 | $13K |
| D0274 | Bitewings - four radiographic images | 2.4% | 189 | 189 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 69 | 69 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 134 | 133 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 27 | 19 | $2K |
2 more codes
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 officialWATERS, PATTI (OFFICE MANAGER)