ST Cloud Family Dentistry

ST Cloud Family Dentistry was paid $48K by Medicaid between Jan 2018 and Feb 2020, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 20% of everything it billed.

33Billing provider infoST CLOUD FAMILY DENTISTRY
SAINT CLOUD, MN 56303

33aNPI1518934306assigned 03/01/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$48K

24GClaims3,996

24DCodes billed12

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other General Practice Dentistry providers in Minnesota

Rank by total paid#145 of 368

Median peer was paid$19K

This provider vs. median2.5×

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	2,568	$9K
2019	967	$27K
2020	461	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	20%	529	525	$10K
D1120	Dental cleaning, childProphylaxis - child	15%	669	664	$7K
D0150	Comprehensive oral evaluation - new or established patient	15%	633	625	$7K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	565	561	$6K
D1208	Topical application of fluoride, excluding varnish	10%	577	571	$5K
D0274	Bitewings - four radiographic images	9.9%	468	465	$5K
D0272	Bitewings - two radiographic images	5.7%	303	298	$3K
D0140	Limited oral evaluation - problem focused	4.4%	119	117	$2K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	3.4%	45	37	$2K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	1.7%	13	12	$832.26
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.3%	13	12	$645.19
D0220	Intraoral - periapical first radiographic image	<1%	62	61	$408.30

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 officialNGUYEN, NHANGUYEN (DENTIST)