Dental
Nordeen, Kyle
Nordeen, Kyle was paid $29K by Medicaid between Aug 2020 and Sep 2020, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoNORDEEN, KYLE
APPLE VALLEY, MN 55124
APPLE VALLEY, MN 55124
33aNPI1538470711assigned 06/23/2010
33bProvider typePediatric Dentist
28Total paid$29K
24GClaims1,322
24DCodes billed12
24AFirst – last monthAug 2020 – Sep 2020
Compared with peers
Next to other Pediatric Dentist providers in Minnesota
Rank by total paid#34 of 49
Median peer was paid$94K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2020 | 1,322 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 256 | 254 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 260 | 258 | $5K |
| D1206 | Topical application of fluoride varnish | 17% | 301 | 299 | $5K |
| D0272 | Bitewings - two radiographic images | 8.1% | 124 | 123 | $2K |
| D1351 | Sealant - per tooth | 7.6% | 96 | 29 | $2K |
| D1110 | Prophylaxis - adult | 7.1% | 51 | 51 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | 4.4% | 20 | 12 | $1K |
| D0274 | Bitewings - four radiographic images | 3.9% | 45 | 44 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.2% | 53 | 52 | $933.24 |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 24 | 24 | $846.02 |
| D0240 | 2.0% | 43 | 42 | $576.92 | |
| D1354 | <1% | 49 | 15 | $137.26 |
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.